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LIFELINE HOME HEALTHCARE PROVIDERS, INC. - Florida Company Profile

Company Details

Entity Name: LIFELINE HOME HEALTHCARE PROVIDERS, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

LIFELINE HOME HEALTHCARE PROVIDERS, 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: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 24 Jun 2003 (22 years ago)
Date of dissolution: 23 Oct 2024 (6 months ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 23 Oct 2024 (6 months ago)
Document Number: P03000069985
FEI/EIN Number 200055571

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

Address: 9425 SW 72ND ST.,, MIAMI, FL, 33173, US
Mail Address: 9425 SW 72ND ST.,, MIAMI, FL, 33173, US
ZIP code: 33173
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1285692343 2006-05-01 2018-05-24 9425 SW 72ND STREET, SUITE 237, MIAMI, FL, 33173, US 9425 SW 72ND STREET, SUITE 237, MIAMI, FL, 33173, US

Contacts

Phone +1 305-263-2757
Fax 3052632768

Authorized person

Name MR. MANUEL A PIEDRA
Role COO
Phone 3059688842

Taxonomy

Taxonomy Code 251E00000X - Home Health Agency
License Number 299992088
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LIFELINE HOME HEALTHCARE PROVIDERS INC. GHT BENEFIT PLAN 2023 200055571 2025-01-30 LIFELINE HOME HEALTHCARE PROVIDERS INC. 3
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2022-01-01
Business code 621610
Sponsor’s telephone number 3052632757
Plan sponsor’s address 9425 SW 72ND ST, MIAMI, FL, 331733251

Plan administrator’s name and address

Administrator’s EIN 851828091
Plan administrator’s name MARILU RIOS
Plan administrator’s address 1 SE 3RD AVENUE, SUITE 1410, MIAMI, FL, 33131
Administrator’s telephone number 3053507700

Signature of

Role Plan administrator
Date 2025-01-30
Name of individual signing MARILU RIOS
Valid signature Filed with authorized/valid electronic signature
LIFELINE HOME HEALTHCARE PROVIDERS INC. GHT BENEFIT PLAN 2022 200055571 2024-01-30 LIFELINE HOME HEALTHCARE PROVIDERS INC. 4
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2022-01-01
Business code 621610
Sponsor’s telephone number 3052632757
Plan sponsor’s address 9425 SW 72ND ST, MIAMI, FL, 331733251

Plan administrator’s name and address

Administrator’s EIN 851828091
Plan administrator’s name MARILU RIOS
Plan administrator’s address 1 SE 3RD AVENUE, SUITE 1410, MIAMI, FL, 33131
Administrator’s telephone number 3053507700

Signature of

Role Plan administrator
Date 2024-01-30
Name of individual signing MARILU RIOS
Valid signature Filed with authorized/valid electronic signature
LIFELINE HOME HEALTHCARE PROVIDERS INC. GHT BENEFIT PLAN 2021 200055571 2022-12-30 LIFELINE HOME HEALTHCARE PROVIDERS INC. 7
Three-digit plan number (PN) 501
Effective date of plan 2022-01-01
Business code 621610
Sponsor’s telephone number 3052632757
Plan sponsor’s address 9425 SW 72ND ST, MIAMI, FL, 331733251

Plan administrator’s name and address

Administrator’s EIN 851828091
Plan administrator’s name MARILU RIOS
Plan administrator’s address 1 SE 3RD AVENUE, SUITE 1410, MIAMI, FL, 33131
Administrator’s telephone number 3053507700

Signature of

Role Plan administrator
Date 2022-12-30
Name of individual signing MARILU RIOS
Valid signature Filed with authorized/valid electronic signature

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

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

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
7286537007 2020-04-07 0455 PPP 9425 SW 72ND ST SUITE 237, MIAMI, FL, 33173-3248
Loan Status Date 2022-02-18
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 135000
Loan Approval Amount (current) 135000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 188567
Servicing Lender Name Loan Source Incorporated
Servicing Lender Address 353 East 83rd Street Suite 3H, NEW YORK, NY, 10028
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address MIAMI, MIAMI-DADE, FL, 33173-3248
Project Congressional District FL-27
Number of Employees 40
NAICS code 621999
Borrower Race Unanswered
Borrower Ethnicity Hispanic or Latino
Business Type Corporation
Originating Lender ID 124369
Originating Lender Name Five Star Bank
Originating Lender Address Rancho Cordova, CA
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 136457.26
Forgiveness Paid Date 2021-05-13
7725538300 2021-01-28 0455 PPS 9425 SW 72nd St Ste 237, Miami, FL, 33173-5457
Loan Status Date 2022-03-08
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 167000
Loan Approval Amount (current) 167000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 124369
Servicing Lender Name Five Star Bank
Servicing Lender Address 3100 Zinfandel Dr. Ste. 650, Rancho Cordova, CA, 95670
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Miami, MIAMI-DADE, FL, 33173-5457
Project Congressional District FL-27
Number of Employees 8
NAICS code 621610
Borrower Race Unanswered
Borrower Ethnicity Hispanic or Latino
Business Type Corporation
Originating Lender ID 124369
Originating Lender Name Five Star Bank
Originating Lender Address Rancho Cordova, CA
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 168707.11
Forgiveness Paid Date 2022-02-07

Date of last update: 02 Apr 2025

Sources: Florida Department of State