| Name: | Gericare Medical Supply, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 27 Feb 1985 (40 years ago) |
| Entity Number: | 000-102-898 |
| Register Number: | 000102898 |
| ZIP code: | 36460 |
| County: | Monroe |
| Place of Formation: | Monroe County |
| Registered Office Street Address: | 521 WHETSTONE STREETMONROEVILLE, AL 36460 |
| Authorized Capital: | $2,000 |
| Paid Share Capital: | $2,000 |
Activities
MEDICAL SUPPLY DISTRIBUTION CENTER
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1255380226 | 2006-05-08 | 2013-12-20 | 521 WHETSTONE ST, MONROEVILLE, AL, 364602615, US | 521 WHETSTONE ST, MONROEVILLE, AL, 364602615, US | |||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||
| Phone | +1 251-743-3844 |
| Fax | 2517432495 |
Authorized person
| Name | MR. JOSEPH W JONES JR. |
| Role | PRESIDENT & OWNER |
| Phone | 2517433844 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | Yes |
| Taxonomy Code | 332BP3500X - Parenteral & Enteral Nutrition Supplies (DME) |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 000054498 |
| State | AL |
| Issuer | UNITED MINE WORKERS |
| Number | 15230B001 |
| Name | Role |
|---|---|
| JONES, JOSEPH W | Agent |
| Name | Role |
|---|---|
| MILLER, BOB | Director |
| Name | Role |
|---|---|
| JONES, JOSEPH W | Incorporator |
| WHETSTONE, JACK M DR | Incorporator |
| KENNEDY, M M JR | Incorporator |
| CURETON, JACOB L JR | Incorporator |
| OWENS, WINDELL C | Incorporator |
| Contract Type | Award or IDV Flag | PIID | Start Date | Current End Date | Potential End Date | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PO | AWARD | VA529R12280 | 2011-04-05 | 2011-04-05 | 2011-04-05 | |||||||||||||||||||||
|
||||||||||||||||||||||||||
| Title | DYN-ERGO MOBILITY CHAIRS |
| NAICS Code | 423450: MEDICAL, DENTAL, AND HOSPITAL EQUIPMENT AND SUPPLIES MERCHANT WHOLESALERS |
| Product and Service Codes | 6530: HOSP FURNITURE,EQ,UTENSILS & SUP |
Recipient Details
| Recipient | GERICARE MEDICAL SUPPLY INC |
| UEI | Q92BEBTKATW4 |
| Legacy DUNS | 181187956 |
| Recipient Address | UNITED STATES, 521 WHETSTONE ST, MONROEVILLE, 364602615 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2473707209 | 2020-04-16 | 0459 | PPP | 521 Whetstone St, MONROEVILLE, AL, 36460-2615 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| USDOT Number | Carrier Operation | MCS-150 Form Date | MCS-150 Mileage | MCS-150 Year | Power Units | Drivers | Operation Classification | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 385666 | Intrastate Non-Hazmat | 2024-06-03 | 260152 | 2023 | 4 | 5 | Private(Property) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Total Number of Inspections for the measurement period (24 months) | 1 |
| Driver Fitness BASIC Serious Violation Indicator | No |
| Vehicle Maintenance BASIC Acute/Critical Indicator | No |
| Unsafe Driving BASIC Acute/Critical Indicator | No |
| Driver Fitness BASIC Roadside Performance measure value | 1 |
| Hours-of-Service (HOS) Compliance BASIC Roadside Performance measure value | 0 |
| Total Number of Driver Inspections for the measurment period | 1 |
| Vehicle Maintenance BASIC Roadside Performance measure value | 3 |
| Total Number of Vehicle Inspections for the measurement period | 1 |
| Controlled Substances and Alcohol BASIC Roadside Performance measure value | 0 |
| Unsafe Driving BASIC Roadside Performance Measure Value | 0 |
| Number of inspections with at least one Driver Fitness BASIC violation | 1 |
| Number of inspections with at least one Hours-of-Service BASIC violation | 0 |
| Total Number of Driver Inspections containing at least one Driver Out-of-Service Violation | 0 |
| Number of inspections with at least one Vehicle Maintenance BASIC violation | 1 |
| Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation | 0 |
| Number of inspections with at least one Controlled Substances and Alcohol BASIC violation | 0 |
| Number of inspections with at least one Unsafe Driving BASIC violation | 0 |
Inspections
| Unique report number of the inspection | 1928002618 |
| State abbreviation that indicates the state the inspector is from | AL |
| The date of the inspection | 2024-12-17 |
| ID that indicates the level of inspection | Full |
| State abbreviation that indicates where the inspection occurred | AL |
| Time weight of the inspection | 3 |
| Number of Out-Of-Service violations related to Driver | 0 |
| Number of Out-Of-Service violations related to vehicle | 0 |
| Number of violations related to Hazardous Materials | 0 |
| Total number of Out-Of-Service violations | 0 |
| Total number of Out-Of-Service violations related to Hazardous Materials | 0 |
| Description of the type of the main unit | STRAIGHT TRUCK |
| Description of the make of the main unit | FRHT |
| License plate of the main unit | 2C00T3B |
| License state of the main unit | AL |
| Vehicle Identification Number of the main unit | 3ALACWFC8SDWC8818 |
| Unsafe Driving BASIC inspection | Y |
| Hours-of-Service Compliance BASIC inspection | Y |
| Driver Fitness BASIC inspection | Y |
| Controlled Substances/Alcohol BASIC inspection | Y |
| Vehicle Maintenance BASIC inspection | Y |
| Total number of BASIC violations | 3 |
| Number of Unsafe Driving BASIC violations | 0 |
| Number of Hours-of-Service Compliance BASIC violations | 0 |
| Number of Driver Fitness BASIC violations | 1 |
| Number of Controlled Substances/Alcohol BASIC violations | 0 |
| Number of Vehicle Maintenance BASIC violations | 2 |
| Number of Hazardous Materials Compliance BASIC violations | 0 |
Violations
| The date of the inspection | 2024-12-17 |
| Code of the violation | 3965BHLIW |
| Name of the BASIC | Vehicle Maintenance |
| The violation is identified as Out-Of-Service violation | N |
| The weight that is assigned to a violation if it's identified as an Out-Of-Service violation | 0 |
| The severity weight that is assigned to a violation | 2 |
| The time weight that is assigned to a violation | 3 |
| The description of a violation | Hubs - Oil and/or Grease Leaking from hub - inner wheel |
| The description of the violation group | Wheels Studs Clamps Etc. |
| The unit a violation is cited against | Vehicle main unit |
| The date of the inspection | 2024-12-17 |
| Code of the violation | 39378 |
| Name of the BASIC | Vehicle Maintenance |
| The violation is identified as Out-Of-Service violation | N |
| The weight that is assigned to a violation if it's identified as an Out-Of-Service violation | 0 |
| The severity weight that is assigned to a violation | 1 |
| The time weight that is assigned to a violation | 3 |
| The description of a violation | Wipers - Inoperative / missing / damaged wipers |
| The description of the violation group | Windshield/ Glass/ Markings |
| The unit a violation is cited against | Vehicle main unit |
| The date of the inspection | 2024-12-17 |
| Code of the violation | 38371H |
| Name of the BASIC | Driver Fitness |
| The violation is identified as Out-Of-Service violation | N |
| The weight that is assigned to a violation if it's identified as an Out-Of-Service violation | 0 |
| The severity weight that is assigned to a violation | 1 |
| The time weight that is assigned to a violation | 3 |
| The description of a violation | Failing to submit medical certification documentation as required |
| The description of the violation group | Medical Certificate |
| The unit a violation is cited against | Driver |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State
