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SIGNATURE PROVIDER SERVICES, LLC

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Company Details

Name: SIGNATURE PROVIDER SERVICES, LLC
Legal type: Foreign Limited Liability Company
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 14 Sep 2012 (13 years ago)
Authority Date: 14 Sep 2012 (13 years ago)
Last Annual Report: 27 Jun 2018 (7 years ago)
Organization Number: 0838156
ZIP code: 40299
City: Louisville, Jeffersontown
Primary County: Jefferson County
Principal Office: 12201 BLUEGRASS PARKWAY, LOUISVILLE, KY 40299
Place of Formation: DELAWARE

Registered Agent

Name Role
KY SECRETARY OF STATE Registered Agent

Member

Name Role
John Harrison Member
Sandra Adams Member
E. Joseph Steier Member

National Provider Identifier

NPI Number:
1265616825

Authorized Person:

Name:
MR. JOHN HARRISON
Role:
CFO
Phone:

Taxonomy:

Selected Taxonomy:
332BN1400X - Nursing Facility Supplies (DME)
Is Primary:
No
Selected Taxonomy:
332BP3500X - Parenteral & Enteral Nutrition Supplies (DME)
Is Primary:
No
Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
No
Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
Yes

Contacts:

Fax:
5025687954
Fax:
5025687150

Assumed Names

Name Status Expiration Date
HOMENOW MEDICAL SUPPLIES Inactive 2018-05-01

Filings

Name File Date
App. for Certificate of Withdrawal 2018-09-11
Annual Report 2018-06-27
Annual Report 2017-06-21
Annual Report 2016-04-08
Registered Agent name/address change 2015-10-27

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Sources: Kentucky Secretary of State