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RESTORE HEALTH SERVICES, INC. - Florida Company Profile

Company Details

Entity Name: RESTORE HEALTH SERVICES, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

RESTORE HEALTH SERVICES, 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: 22 Jan 2013 (12 years ago)
Document Number: P13000006824
FEI/EIN Number 46-1835423

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

Address: 4400 N. Hwy 19A, Mt. Dora, FL, 32757, US
Mail Address: 4400 N. Hwy 19A, Mt. Dora, FL, 32757, US
ZIP code: 32757
County: Lake
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1245761253 2017-03-22 2020-06-15 4400 N HIGHWAY 19A STE 9, MOUNT DORA, FL, 327572022, US 4400 N HIGHWAY 19A STE 9, MOUNT DORA, FL, 327572022, US

Contacts

Phone +1 352-589-0357
Fax 8889796004

Authorized person

Name JENNIFER MERRITT
Role PRESIDENT
Phone 3525890357

Taxonomy

Taxonomy Code 253Z00000X - In Home Supportive Care Agency
License Number 233357
State FL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 012257100
State FL

Key Officers & Management

Name Role Address
HAYES JENNIFER M Chief Executive Officer 3164 Bayou Lane, Tavares, FL, 32778
MERRITT JENNIFER Agent 4400 N. Hwy 19A, Mt. Dora, FL, 32757

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G16000063643 RESTORE HOME HEALTH AGENCY ACTIVE 2016-06-28 2026-12-31 - 4400 N HWY 19A STE. 9, MOUNT DORA, FL, 32757
G13000107615 RESTORE CARE SERVICES EXPIRED 2013-11-01 2018-12-31 - PO BOX 1147, EUSTIS, FL, 32727

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2017-10-27 4400 N. Hwy 19A, Suite 9, Mt. Dora, FL 32757 -
CHANGE OF PRINCIPAL ADDRESS 2017-04-19 4400 N. Hwy 19A, Suite 9, Mt. Dora, FL 32757 -
REGISTERED AGENT ADDRESS CHANGED 2017-04-19 4400 N. Hwy 19A, Suite 9, Mt. Dora, FL 32757 -

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J21000379911 TERMINATED 1000000896088 LAKE 2021-07-22 2031-07-28 $ 641.22 STATE OF FLORIDA, DEPARTMENT OF REVENUE, LEESBURG SERVICE CENTER, 900 N 14TH ST STE 201, LEESBURG FL347483817

Documents

Name Date
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-04-20
ANNUAL REPORT 2022-04-29
ANNUAL REPORT 2021-04-30
ANNUAL REPORT 2020-06-23
ANNUAL REPORT 2019-04-19
ANNUAL REPORT 2018-03-02
ANNUAL REPORT 2017-04-19
ANNUAL REPORT 2016-02-10
ANNUAL REPORT 2015-04-28

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
2085047406 2020-05-05 0491 PPP 4400 N HWY 19A STE. 9, MOUNT DORA, FL, 32757
Loan Status Date 2021-05-08
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 50952
Loan Approval Amount (current) 50952
Undisbursed Amount 0
Franchise Name -
Lender Location ID 12096
Servicing Lender Name Wells Fargo Bank, National Association
Servicing Lender Address 101 N Philips Ave, SIOUX FALLS, SD, 57104-6738
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address MOUNT DORA, LAKE, FL, 32757-0001
Project Congressional District FL-11
Number of Employees 11
NAICS code 621610
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 12096
Originating Lender Name Wells Fargo Bank, National Association
Originating Lender Address SIOUX FALLS, SD
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 51409.87
Forgiveness Paid Date 2021-04-01
2281328705 2021-03-28 0491 PPS 4400 N Highway 19A Ste 9, Mount Dora, FL, 32757-2022
Loan Status Date 2022-01-12
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 40000
Loan Approval Amount (current) 40000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 12096
Servicing Lender Name Wells Fargo Bank, National Association
Servicing Lender Address 101 N Philips Ave, SIOUX FALLS, SD, 57104-6738
Rural or Urban Indicator U
Hubzone N
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Mount Dora, LAKE, FL, 32757-2022
Project Congressional District FL-06
Number of Employees 11
NAICS code 621610
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 12096
Originating Lender Name Wells Fargo Bank, National Association
Originating Lender Address SIOUX FALLS, SD
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 40267.4
Forgiveness Paid Date 2021-12-01

U.S. Small Business Administration Profile

Status User ID Name of Firm Trade Name UEI Address
Active P3317224 RESTORE HEALTH SERVICES, INC. RESTORE HEALTH SERVICES INC PWR7X1SQFM54 4400 N HIGHWAY 19A, STE 9, MOUNT DORA, FL, 32757-2022
Capabilities Statement Link -
Phone Number 352-434-9185
Fax Number -
E-mail Address jhayes@restorehealthservices.com
WWW Page www.restorehealthservices.com
E-Commerce Website -
Contact Person JENNIFER HAYES
County Code (3 digit) 069
Congressional District 06
Metropolitan Statistical Area 5960
CAGE Code 01A81
Year Established 2013
Accepts Government Credit Card Yes
Legal Structure Corporation
Ownership and Self-Certifications Black American, Other Minority Owned, Women-Owned Small Business, Woman Owned
Business Development Servicing Office NORTH FLORIDA DISTRICT OFFICE (SBA office code 0491)
Capabilities Narrative (none given)
Special Equipment/Materials (none given)
Business Type Percentages (none given)
Keywords (none given)
Quality Assurance Standards (none given)
Electronic Data Interchange capable -

SBA Federal Certifications

HUBZone Certified No
Women Owned Certified No
Women Owned Pending No
Economically Disadvantaged Women Owned Certified No
Economically Disadvantaged Women Owned Pending No
Veteran-Owned Small Business Certified No
Veteran-Owned Small Business Joint Venture No
Service-Disabled Veteran-Owned Small Business Certified No
Service-Disabled Veteran-Owned Small Business Joint Venture No

Bonding Levels

Description Construction Bonding Level (per contract)
Level (none given)
Description Construction Bonding Level (aggregate)
Level (none given)
Description Service Bonding Level (per contract)
Level (none given)
Description Service Bonding Level (aggregate)
Level (none given)

NAICS Codes with Size Determinations by NAICS

Primary Yes
Code 621610
NAICS Code's Description Home Health Care Services
Buy Green Yes

Export Profile (Trade Mission Online)

Exporter Firm hasn't answered this question yet
Export Business Activities (none given)
Exporting to (none given)
Desired Export Business Relationships (none given)
Description of Export Objective(s) (none given)

Date of last update: 02 Apr 2025

Sources: Florida Department of State