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RESTORE HEALTH SERVICES, INC. - Florida Company Profile

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Company Details

Entity Name: RESTORE HEALTH SERVICES, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 22 Jan 2013 (13 years ago)
Document Number: P13000006824
FEI/EIN Number 46-1835423
Address: 4400 N. Hwy 19A, Mt. Dora, FL, 32757, US
Mail Address: 4400 N. Hwy 19A, Mt. Dora, FL, 32757, US
ZIP code: 32757
City: Mount Dora
County: Lake
Place of Formation: FLORIDA

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

U.S. Small Business Administration Profile

Website:
www.restorehealthservices.com
Phone Number:
352-434-9185
E-mail Address:
jhayes@restorehealthservices.com
Contact Person:
JENNIFER HAYES
Ownership and Self-Certifications:
Black American, Other Minority Owned, Women-Owned Small Business, Woman Owned
User ID:
P3317224
Trade Name:
RESTORE HEALTH SERVICES INC

Unique Entity ID

Unique Entity ID:
PWR7X1SQFM54
CAGE Code:
01A81
UEI Expiration Date:
2025-09-01

Business Information

Doing Business As:
RESTORE HEALTH SERVICES INC
URL:
www.restorehealthservices.com
Division Name:
RESTORE HEALTH SERVICES INC
Activation Date:
2024-09-06
Initial Registration Date:
2024-09-01

Commercial and government entity program

CAGE number:
01A81
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2024-09-06
CAGE Expiration:
2029-09-06
SAM Expiration:
2025-09-01

Contact Information

POC:
JENNIFER HAYES
Corporate URL:
www.restorehealthservices.com

National Provider Identifier

NPI Number:
1245761253
Certification Date:
2020-06-15
Link:
View on NPI website

Authorized Person:

Name:
JENNIFER MERRITT
Role:
PRESIDENT
Phone:
3525890357

Taxonomy:

Selected Taxonomy:
253Z00000X - In Home Supportive Care Agency
Is Primary:
Yes

Contacts:

Phone:
+1 352-589-0357
Fax:
8889796004

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

USAspending Awards / Financial Assistance

Date:
2021-03-29
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:
40000.00
Total Face Value Of Loan:
40000.00
Date:
2021-02-02
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:
50735.00
Total Face Value Of Loan:
0.00
Date:
2020-05-11
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:
393100.00
Date:
2020-05-11
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:
393100.00
Date:
2020-05-05
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:
50952.00
Total Face Value Of Loan:
50952.00

Paycheck Protection Program

Jobs Reported:
11
Initial Approval Amount:
$50,952
Date Approved:
2020-05-05
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$50,952
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$51,409.87
Servicing Lender:
Wells Fargo Bank, National Association
Use of Proceeds:
Payroll: $50,952
Jobs Reported:
11
Initial Approval Amount:
$40,000
Date Approved:
2021-03-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$40,000
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$40,267.4
Servicing Lender:
Wells Fargo Bank, National Association
Use of Proceeds:
Payroll: $39,997
Utilities: $1

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Date of last update: 02 Aug 2025

Sources: Florida Department of State

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