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  5. LIFELINE HOME HEALTHCARE PROVIDERS, INC.

LIFELINE HOME HEALTHCARE PROVIDERS, INC. - Florida Company Profile

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Company Details

Entity Name: LIFELINE HOME HEALTHCARE PROVIDERS, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 24 Jun 2003 (22 years ago)
Date of dissolution: 23 Oct 2024 (9 months ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 23 Oct 2024 (9 months ago)
Document Number: P03000069985
FEI/EIN Number 200055571
Address: 9425 SW 72ND ST.,, MIAMI, FL, 33173, US
Mail Address: 9425 SW 72ND ST.,, MIAMI, FL, 33173, US
ZIP code: 33173
City: Miami
County: Miami-Dade
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
PIEDRA MANUEL A Director 9425 SW 72ND ST.,, MIAMI, FL, 33173
Piedra Holly D Secretary 9425 SW 72ND ST.,, MIAMI, FL, 33173
PIEDRA MANUEL A Agent 9425 SW 72 St, MIAMI, FL, 33173

National Provider Identifier

NPI Number:
1285692343
Link:
View on NPI website

Authorized Person:

Name:
MR. MANUEL A PIEDRA
Role:
COO
Phone:
3059688842

Taxonomy:

Selected Taxonomy:
251E00000X - Home Health Agency
Is Primary:
Yes

Contacts:

Phone:
+1 305-263-2757
Fax:
3052632768

Form 5500 Series

Employer Identification Number (EIN):
200055571
Plan Year:
2023
Number Of Participants:
3
Sponsors Telephone Number:
3052632757
File:
View File
Plan Year:
2022
Number Of Participants:
4
Sponsors Telephone Number:
3052632757
File:
View File
Plan Year:
2021
Number Of Participants:
7
Sponsors Telephone Number:
3052632757

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2024-10-23 - -
REGISTERED AGENT ADDRESS CHANGED 2017-07-01 9425 SW 72 St, Suite 237, MIAMI, FL 33173 -
CHANGE OF PRINCIPAL ADDRESS 2016-09-07 9425 SW 72ND ST.,, SUITE 237, MIAMI, FL 33173 -
CHANGE OF MAILING ADDRESS 2016-09-07 9425 SW 72ND ST.,, SUITE 237, MIAMI, FL 33173 -
AMENDED AND RESTATEDARTICLES 2011-11-18 - -
AMENDED AND RESTATEDARTICLES 2011-11-17 - -
AMENDMENT 2008-07-01 - -
REGISTERED AGENT NAME CHANGED 2008-02-25 PIEDRA, MANUEL A -

Documents

Name Date
VOLUNTARY DISSOLUTION 2024-10-23
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-02-27
ANNUAL REPORT 2022-02-23
ANNUAL REPORT 2021-02-26
ANNUAL REPORT 2020-02-11
ANNUAL REPORT 2019-04-16
ANNUAL REPORT 2018-01-25
ANNUAL REPORT 2017-07-01
ANNUAL REPORT 2016-03-29

USAspending Awards / Financial Assistance

Date:
2021-01-28
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
167000.00
Total Face Value Of Loan:
167000.00
Date:
2020-06-24
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
150000.00
Total Face Value Of Loan:
800000.00
Date:
2020-06-19
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
10000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-07
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
135000.00
Total Face Value Of Loan:
135000.00
Date:
2019-11-05
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Obligated Amount:
0.00
Face Value Of Loan:
350000.00
Total Face Value Of Loan:
350000.00

Paycheck Protection Program

Jobs Reported:
40
Initial Approval Amount:
$135,000
Date Approved:
2020-04-07
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$135,000
Race:
Unanswered
Ethnicity:
Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$136,457.26
Servicing Lender:
Loan Source Incorporated
Use of Proceeds:
Payroll: $109,000
Rent: $26,000
Jobs Reported:
8
Initial Approval Amount:
$167,000
Date Approved:
2021-01-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$167,000
Race:
Unanswered
Ethnicity:
Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$168,707.11
Servicing Lender:
Five Star Bank
Use of Proceeds:
Payroll: $166,997
Utilities: $1

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Date of last update: 02 Jul 2025

Sources: Florida Department of State

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