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FOREST HILLS HEALTH CARE, INC. - Florida Company Profile

Company Details

Entity Name: FOREST HILLS HEALTH CARE, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

FOREST HILLS HEALTH CARE, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 16 Aug 1984 (41 years ago)
Document Number: H16945
FEI/EIN Number 592440113

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 116 W BOUGAINVILLEA AVE, TAMPA, FL, 33612, US
Mail Address: 116 W BOUGAINVILLEA AVE, TAMPA, FL, 33612, US
ZIP code: 33612
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1184737405 2006-08-17 2020-08-22 116 W BOUGAINVILLEA AVENUE, TAMPA, FL, 336127437, US 116 W BOUGAINVILLEA AVENUE, TAMPA, FL, 336127437, US

Contacts

Phone +1 813-932-4381
Fax 8139336875

Authorized person

Name PRAVIN D PATEL
Role ADMINISTRATOR
Phone 8139324381

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FOREST HILLS HEALTH CARE, INC. 401(K) PLAN 2021 592440113 2022-09-21 FOREST HILLS HEALTH CARE, INC. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 8139324381
Plan sponsor’s address 116 W. BOUGANVILLEA AVENUE, TAMPA, FL, 33612
FOREST HILLS HEALTH CARE, INC. 401(K) PLAN 2020 592440113 2021-09-27 FOREST HILLS HEALTH CARE, INC. 25
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 8139324381
Plan sponsor’s address 116 W. BOUGANVILLEA AVENUE, TAMPA, FL, 33612
FOREST HILLS HEALTH CARE, INC. 401(K) PLAN 2019 592440113 2020-10-10 FOREST HILLS HEALTH CARE, INC. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 8139324381
Plan sponsor’s address 116 W. BOUGANVILLEA AVENUE, TAMPA, FL, 33612
FOREST HILLS HEALTH CARE, INC. 401(K) PLAN 2018 592440113 2019-10-08 FOREST HILLS HEALTH CARE, INC. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 8139324381
Plan sponsor’s address 116 W. BOUGANVILLEA AVENUE, TAMPA, FL, 33612

Key Officers & Management

Name Role Address
PATEL Chandravadan J Director 116 W BOUGAINVILLEA AVE, TAMPA, FL, 33612
DESAI SANJIV K Director 116 W.BOUGAINVILLEA AVE, TAMPA, FL, 33612
PATEL Chandravadan J Agent 116 W BOUGAINVILEA AVE, TAMPA, FL, 33612

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G17000026025 MEDICAL CENTER OF TAMPA BAY EXPIRED 2017-03-10 2022-12-31 - 613 W. ML KING JR BLVD, SUITE 101, TAMPA, FL, 33603
G10000115703 ALPHA MEDICAL CLINIC EXPIRED 2010-12-17 2015-12-31 - 3505 E. HILLSBOROUGH AVENUE, TAMPA, FL, 33610

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2017-01-19 116 W BOUGAINVILLEA AVE, TAMPA, FL 33612 -
CHANGE OF MAILING ADDRESS 2017-01-19 116 W BOUGAINVILLEA AVE, TAMPA, FL 33612 -
REGISTERED AGENT NAME CHANGED 2017-01-19 PATEL, Chandravadan J -
REGISTERED AGENT ADDRESS CHANGED 1994-02-14 116 W BOUGAINVILEA AVE, TAMPA, FL 33612 -

Documents

Name Date
ANNUAL REPORT 2024-02-07
ANNUAL REPORT 2023-02-27
ANNUAL REPORT 2022-01-29
AMENDED ANNUAL REPORT 2021-02-05
ANNUAL REPORT 2021-01-12
ANNUAL REPORT 2020-01-09
ANNUAL REPORT 2019-01-09
ANNUAL REPORT 2018-01-16
ANNUAL REPORT 2017-01-19
ANNUAL REPORT 2016-01-12

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
7740407200 2020-04-28 0455 PPP 116 W BOUGAINVILLEA AVE, TAMPA, FL, 33612-7416
Loan Status Date 2021-04-15
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 284600
Loan Approval Amount (current) 276473.74
Undisbursed Amount 0
Franchise Name -
Lender Location ID 17715
Servicing Lender Name The Bank of Tampa
Servicing Lender Address 601 Bayshore Blvd, TAMPA, FL, 33606-2747
Rural or Urban Indicator U
Hubzone N
LMI Y
Business Age Description Unanswered
Project Address TAMPA, HILLSBOROUGH, FL, 33612-7416
Project Congressional District FL-15
Number of Employees 22
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 17715
Originating Lender Name The Bank of Tampa
Originating Lender Address TAMPA, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 278821.87
Forgiveness Paid Date 2021-03-11

Date of last update: 02 Apr 2025

Sources: Florida Department of State