| Entity Name: | SIGNATURE STAFF SOLUTIONS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
SIGNATURE STAFF SOLUTIONS, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 05 Nov 2012 (12 years ago) |
| Date of dissolution: | 23 Mar 2019 (6 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 23 Mar 2019 (6 years ago) |
| Document Number: | L12000140162 |
| FEI/EIN Number |
46-1335859
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 10950-60 SAN JOSE BLVD,, JACKSONVILLE, FL, 32223, US |
| Mail Address: | 10950-60 SAN JOSE BLVD,, JACKSONVILLE, FL, 32223, US |
| ZIP code: | 32223 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1316369044 | 2014-01-15 | 2014-01-15 | 138 PALM COAST PKWY NE # 258, PALM COAST, FL, 321378241, US | 3830 CROWN POINT RD STE F, JACKSONVILLE, FL, 322577553, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 904-679-1819 |
| Fax | 9046478096 |
Authorized person
| Name | MATANA MANOMAT |
| Role | ADMINISTRATOR |
| Phone | 9046791819 |
Taxonomy
| Taxonomy Code | 163W00000X - Registered Nurse |
| License Number | 1585 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 163WI0500X - Infusion Therapy Registered Nurse |
| License Number | 1585 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 164W00000X - Licensed Practical Nurse |
| License Number | 1585 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 171M00000X - Case Manager/Care Coordinator |
| License Number | 1585 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 3747P1801X - Personal Care Attendant |
| License Number | 1585 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 374U00000X - Home Health Aide |
| License Number | 1585 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 376K00000X - Nurse's Aide |
| License Number | 1585 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | AHCA HEALTH CARE SERVICES POOL |
| Number | 1585 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MANOMAT MATANA | Managing Member | 10950-60 SAN JOSE BLVD, JACKSONVILLE, FL, 32223 |
| Manomat Matana | Agent | 10950-60 SAN JOSE BLVD,, JACKSONVILLE, FL, 32223 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000069707 | PARTNERS IN CARE | EXPIRED | 2014-07-05 | 2019-12-31 | - | 830 AIA N 13, #472, PONTE VEDRA BCH, FL, 32082 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2019-03-23 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2018-01-18 | 10950-60 SAN JOSE BLVD,, SUITE #258, JACKSONVILLE, FL 32223 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2017-09-20 | 10950-60 SAN JOSE BLVD,, SUITE #258, JACKSONVILLE, FL 32223 | - |
| CHANGE OF MAILING ADDRESS | 2017-09-20 | 10950-60 SAN JOSE BLVD,, SUITE #258, JACKSONVILLE, FL 32223 | - |
| REGISTERED AGENT NAME CHANGED | 2016-03-08 | Manomat, Matana | - |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2019-03-23 |
| ANNUAL REPORT | 2018-01-18 |
| ANNUAL REPORT | 2017-05-12 |
| ANNUAL REPORT | 2016-03-08 |
| ANNUAL REPORT | 2015-04-22 |
| ANNUAL REPORT | 2014-01-24 |
| ANNUAL REPORT | 2013-02-04 |
| Florida Limited Liability | 2012-11-05 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
