| Entity Name: | BERKSHIRE HEALTHCARE STAFFING SOLUTIONS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 13 Oct 2021 (3 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 07 Mar 2023 (2 years ago) |
| Document Number: | L21000446467 |
| FEI/EIN Number | 87-3089674 |
| Address: | 5344 9TH STREET, SUITE 113, Zephyrhills, FL 33542 |
| Mail Address: | 5344 9TH STREET, SUITE 113, Zephyrhills, FL 33542 |
| ZIP code: | 33542 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1801678982 | 2023-10-16 | 2023-10-16 | 5344 9TH ST STE 113, ZEPHYRHILLS, FL, 335424348, US | 5344 9TH ST STE 113, ZEPHYRHILLS, FL, 335424348, US | |||||||||||||
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| Phone | +1 813-790-8815 |
Authorized person
| Name | MS. MICHELE SASSINE |
| Role | DIRECTOR OF NURSING |
| Phone | 8137908815 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BERKSHIRE HEALTHCARE STAFFING SOLUTIONS 401(K) PLAN | 2023 | 873089674 | 2024-05-28 | BERKSHIRE HEALTHCARE STAFFING SOLUTIONS | 0 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2024-05-28 |
| Name of individual signing | QIAN LIU |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| FORGES, PIERRE | Agent | 5344 9TH STREET, SUITE 113, Zephyrhills, FL 33542 |
| Name | Role | Address |
|---|---|---|
| FORGES, PIERRE | Manager | 5344 9TH STREET, SUITE 113 Zephyrhills, FL 33542 |
| SASSINE, MICHELE | Manager | 5344 9TH STREET, SUITE 113 ZEPHYRHILLS, FL 33542 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000061886 | BHSS HOME HEALTH AGENCY | ACTIVE | 2023-05-17 | 2028-12-31 | No data | 5344 NINTH ST STE 113, ZEPHYRHILLS, FL, 33542 |
| G23000061893 | BHSS CAREERS ACADEMY | ACTIVE | 2023-05-17 | 2028-12-31 | No data | 5344 NINTH ST STE 113, ZEPHYRHILLS, FL, 33542 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2023-03-07 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-03-07 | 5344 9TH STREET, SUITE 113, Zephyrhills, FL 33542 | No data |
| CHANGE OF MAILING ADDRESS | 2023-03-07 | 5344 9TH STREET, SUITE 113, Zephyrhills, FL 33542 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-28 | 5344 9TH STREET, SUITE 113, Zephyrhills, FL 33542 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-03 |
| LC Amendment | 2023-03-07 |
| ANNUAL REPORT | 2023-01-28 |
| ANNUAL REPORT | 2022-03-28 |
| Florida Limited Liability | 2021-10-13 |
Date of last update: 13 Jan 2025
Sources: Florida Department of State
