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MED-MART HOME CARE, INC.

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Company Details

Name: MED-MART HOME CARE, INC.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 31 Oct 1996 (29 years ago)
Business ID: 635662
ZIP code: 38863
County: Pontotoc
State of Incorporation: MISSISSIPPI
Principal Office Address: 225 MAGGIE DRIVEPONTOTOC, MS 38863

Agent

Name Role Address
THOMAS W BUTLER Agent 225 MAGGIE DRIVE, P O BOX 616, PONTOTOC, MS 38863

Incorporator

Name Role Address
John A Ferguson Incorporator 125 Mauldin Ln, Pontotoc, MS 38863-1544
Thomas W Butler Incorporator 386 N Ridge Dr, Pontotoc, MS
Thomas A Butler Incorporator 3610 Pontocola Rd, Pontotoc, MS 38863
Kenney B Butler Incorporator 127 Oak Grove Dr, Pontotoc, MS 38863

Director

Name Role Address
Tommy Butler Director 225 MAGGIE DRIVE, Pontotoc, MS 38863
Thomas A. Butler Director 230 BRENTWOOD DRIVE, Pontotoc, MS 38863
Kristopher Butler Director 223 Coffee Street, Pontotoc, MS 38863
Kenney Butler Director 127 Oak Grove Drive, Pontotocc, MS 38863

President

Name Role Address
Tommy Butler President 225 MAGGIE DRIVE, Pontotoc, MS 38863

Vice President

Name Role Address
Thomas A. Butler Vice President 230 BRENTWOOD DRIVE, Pontotoc, MS 38863

Treasurer

Name Role Address
Kristopher Butler Treasurer 223 Coffee Street, Pontotoc, MS 38863

Secretary

Name Role Address
Kenney Butler Secretary 127 Oak Grove Drive, Pontotocc, MS 38863

U.S. Small Business Administration Profile

Phone Number:
E-mail Address:
Fax Number:
662-489-9363
Contact Person:
KEN BUTLER
User ID:
P1043109

Unique Entity ID

Unique Entity ID:
JEUJPFVNC7A7
CAGE Code:
5BG88
UEI Expiration Date:
2025-11-20

Business Information

Division Name:
MED-MART HOME CARE INC.
Activation Date:
2024-11-22
Initial Registration Date:
2009-02-16

Commercial and government entity program

CAGE number:
5BG88
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2024-11-22
CAGE Expiration:
2029-11-22
SAM Expiration:
2025-11-20

Contact Information

POC:
KEN BUTLER

National Provider Identifier

NPI Number:
1497928626

Authorized Person:

Name:
MR. THOMAS ASHLEY BUTLER
Role:
VICE PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
332BX2000X - Oxygen Equipment & Supplies (DME)
Is Primary:
No
Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
Yes

Contacts:

Fax:
6624734427

Form 5500 Series

Employer Identification Number (EIN):
640881635
Plan Year:
2010
Number Of Participants:
13
Sponsors Telephone Number:

Filings

Type Status Filed Date Description
Annual Report Filed 2025-01-13 Annual Report For MED-MART HOME CARE, INC.
Annual Report Filed 2024-02-08 Annual Report For MED-MART HOME CARE, INC.
Annual Report Filed 2023-02-21 Annual Report For MED-MART HOME CARE, INC.
Annual Report Filed 2022-04-05 Annual Report For MED-MART HOME CARE, INC.
Annual Report Filed 2021-03-09 Annual Report For MED-MART HOME CARE, INC.
Annual Report Filed 2020-02-10 Annual Report For MED-MART HOME CARE, INC.
Annual Report Filed 2019-03-11 Annual Report For MED-MART HOME CARE, INC.
Annual Report Filed 2018-02-06 Annual Report For MED-MART HOME CARE, INC.
Annual Report Filed 2017-03-14 Annual Report For MED-MART HOME CARE, INC.
Annual Report Filed 2016-09-19 Annual Report For MED-MART HOME CARE, INC.

USAspending Awards / Contracts

Procurement Instrument Identifier:
VA249PROSMEDMARTHOMECAREOCTTHRUJANFY13
Award Or Idv Flag:
AWARD
Award Type:
PO
Action Obligation:
6917.62
Base And Exercised Options Value:
6917.62
Base And All Options Value:
6917.62
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2012-10-01
Description:
EXPRESS REPORTS - TO CAPTURE ALL PROSTHETIC PURCHASE ORDERS FROM OCTOBER 1, 2012 THRU JANUARY 9, 2013
Naics Code:
339112: SURGICAL AND MEDICAL INSTRUMENT MANUFACTURING
Product Or Service Code:
6515: MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES

USAspending Awards / Financial Assistance

Date:
2020-05-02
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
7000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-07
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
56800.00
Total Face Value Of Loan:
56800.00

Paycheck Protection Program

Jobs Reported:
8
Initial Approval Amount:
$56,800
Date Approved:
2020-04-04
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$56,800
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$57,287.53
Servicing Lender:
First Choice Bank
Use of Proceeds:
Payroll: $56,800

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Date of last update: 20 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website