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CONCEPT STAFFING SERVICES,INC.

Company Details

Entity Name: CONCEPT STAFFING SERVICES,INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 10 May 2010 (15 years ago)
Last Event: AMENDMENT
Event Date Filed: 19 Aug 2019 (5 years ago)
Document Number: P10000040097
FEI/EIN Number 272538685
Address: 11324 SW 18th Ct, Miramar, FL, 33025, US
Mail Address: 11324 SW 18th Ct, Miramar, FL, 33025, US
ZIP code: 33025
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1659864676 2018-06-13 2018-06-13 PO BOX 551116, FORT LAUDERDALE, FL, 333551116, US 5189 SW 122ND TER, COOPER CITY, FL, 333304485, US

Contacts

Phone +1 954-601-6706
Fax 9547298034

Authorized person

Name MS. BEVERLY FAGAN
Role VICE PRESIDENT
Phone 9546016706

Taxonomy

Taxonomy Code 253Z00000X - In Home Supportive Care Agency
License Number 232313
State FL
Is Primary Yes

Agent

Name Role Address
FAGAN BEVERLY P Agent 9800 W Bay Harbor Drive, Bay Harbor Island, FL, 33154

Vice President

Name Role Address
FAGAN DAMANI R Vice President 9800 WEST BAY HARBOR DR APT #712, BAY HARBOR ISLAND, FL, 33154

President

Name Role Address
Fagan Jomo J President 9800 WEST BAY HARBOR DR APT #712, BAY HARBOR ISLAND, FL, 33154

Secretary

Name Role Address
Fagan Jomo J Secretary 9800 WEST BAY HARBOR DR APT #712, BAY HARBOR ISLAND, FL, 33154

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G17000078461 CONCEPT HOME CARE SERVICES ACTIVE 2017-07-21 2028-12-31 No data 11324 SW 18TH CT, MIRAMAR, FL, 33025
G11000059203 CUNCEPT HOME CARE SERVICES EXPIRED 2011-06-14 2016-12-31 No data 5189 SW 122ND TERRACE, COOPER CITY, FL, 33330

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-09-18 11324 SW 18th Ct, Miramar, FL 33025 No data
CHANGE OF MAILING ADDRESS 2024-09-18 11324 SW 18th Ct, Miramar, FL 33025 No data
REGISTERED AGENT ADDRESS CHANGED 2020-06-10 9800 W Bay Harbor Drive, Apt # 712, Bay Harbor Island, FL 33154 No data
AMENDMENT 2019-08-19 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-10
AMENDED ANNUAL REPORT 2023-07-11
ANNUAL REPORT 2023-02-01
ANNUAL REPORT 2022-03-02
ANNUAL REPORT 2021-04-02
ANNUAL REPORT 2020-06-10
Amendment 2019-08-19
ANNUAL REPORT 2019-04-30
ANNUAL REPORT 2018-04-28
ANNUAL REPORT 2017-04-12

Date of last update: 02 Feb 2025

Sources: Florida Department of State