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  5. LIFE HEALTHCARE SERVICES, INC.

LIFE HEALTHCARE SERVICES, INC. - Florida Company Profile

Company Details

Entity Name: LIFE HEALTHCARE SERVICES, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

LIFE HEALTHCARE 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: 06 Jan 1995 (30 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 10 Oct 2013 (12 years ago)
Document Number: P95000001448
FEI/EIN Number 650578671

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 2170 W. 73RD ST., HIALEAH, FL, 33016, US
Mail Address: 2170 W. 73RD ST., HIALEAH, FL, 33016, US
ZIP code: 33016
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1801209366 2014-06-03 2014-06-03 2170 W 73RD ST, HIALEAH, FL, 330161820, US 2170 W 73RD ST, HIALEAH, FL, 330161820, US

Contacts
Phone +1 305-826-5757
Fax 3058265767

Authorized person
Name RENE HERNANDEZ
Role CEO
Phone 3058265757

Taxonomy
Taxonomy Code 3336S0011X - Specialty Pharmacy
License Number PH28159
State FL
Is Primary Yes

Other Provider Identifiers
Issuer PK
Number 2146076

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LIFE HEALTHCARE SERVICES 401 K PROFIT SHARING PLAN TRUST 2013 650578671 2014-03-21 LIFE HEALTHCARE SERVICES 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621610
Sponsor’s telephone number 3058875757
Plan sponsor’s address 2170 W 73RD ST, HIALEAH, FL, 330161820

Signature of
Role Plan administrator
Date 2014-03-21
Name of individual signing RENE HERNANDEZ
Valid signature Filed with authorized/valid electronic signature
LIFE HEALTHCARE SERVICES 401 K PROFIT SHARING PLAN TRUST 2012 650578671 2013-07-30 LIFE HEALTHCARE SERVICES 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621610
Sponsor’s telephone number 3058875757
Plan sponsor’s address 2170 W 73RD ST, HIALEAH, FL, 330161820

Signature of
Role Plan administrator
Date 2013-07-30
Name of individual signing LIFE HEALTHCARE SERVICES
Valid signature Filed with authorized/valid electronic signature
LIFE HEALTHCARE SERVICES 401 K PROFIT SHARING PLAN TRUST 2011 650578671 2012-07-27 LIFE HEALTHCARE SERVICES 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621610
Sponsor’s telephone number 3058873737
Plan sponsor’s address 2170 W 73RD ST, HIALEAH, FL, 330161820

Plan administrator’s name and address
Administrator’s EIN 650578671
Plan administrator’s name LIFE HEALTHCARE SERVICES
Plan administrator’s address 2170 W 73RD ST, HIALEAH, FL, 330161820
Administrator’s telephone number 3058873737

Signature of
Role Plan administrator
Date 2012-07-27
Name of individual signing LIFE HEALTHCARE SERVICES
Valid signature Filed with authorized/valid electronic signature
LIFE HEALTHCARE SERVICES 401 K PROFIT SHARING PLAN TRUST 2010 650578671 2011-07-18 LIFE HEALTHCARE SERVICES 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621610
Sponsor’s telephone number 3058265757
Plan sponsor’s address 2170 W 73 STREET, HIALEAH, FL, 330160000

Plan administrator’s name and address
Administrator’s EIN 650578671
Plan administrator’s name LIFE HEALTHCARE SERVICES
Plan administrator’s address 2170 W 73 STREET, HIALEAH, FL, 330160000
Administrator’s telephone number 3058265757

Signature of
Role Plan administrator
Date 2011-07-18
Name of individual signing LIFE HEALTHCARE SERVICES
Valid signature Filed with authorized/valid electronic signature
LIFE HEALTHCARE SERVICES 401(K) PROFIT SHARING PLAN & TRUST 2009 650578671 2010-07-28 LIFE HEALTHCARE SERVICES, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621610
Sponsor’s telephone number 3058873737
Plan sponsor’s mailing address 2170 W 73 STREET, MIAMI, FL, 33016
Plan sponsor’s address 2170 W 73 STREET, MIAMI, FL, 33016

Plan administrator’s name and address
Administrator’s EIN 650578671
Plan administrator’s name LIFE HEALTHCARE SERVICES, INC.
Plan administrator’s address 2170 W 73 STREET, MIAMI, FL, 33016
Administrator’s telephone number 3058873737

Number of participants as of the end of the plan year
Active participants 5
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 2
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2010-07-27
Name of individual signing RENE HERNANDEZ
Valid signature Filed with authorized/valid electronic signature
LIFE HEALTHCARE SERVICES 2009 650578671 2010-06-02 LIFE HEALTHCARE SERVICES INC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621610
Sponsor’s telephone number 3058265757
Plan sponsor’s mailing address 2170 W 73 STREET, HIALEAH, FL, 33016
Plan sponsor’s address 2170 W 73 STREET, HIALEAH, FL, 33016

Plan administrator’s name and address
Administrator’s EIN 650578671
Plan administrator’s name LIFE HEALTHCARE SERVICES INC
Plan administrator’s address 2170 W 73 STREET, HIALEAH, FL, 33016
Administrator’s telephone number 3058265757

Number of participants as of the end of the plan year
Active participants 4
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 2
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2010-06-02
Name of individual signing RENE HERNANDEZ
Valid signature Filed with authorized/valid electronic signature
LIFE HEALTHCARE SERVICES 2009 650578671 2010-06-02 LIFE HEALTHCARE SERVICES 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621610
Sponsor’s telephone number 3058265757
Plan sponsor’s address 2170 W 73 STREET, MIAMI, FL, 330160000

Plan administrator’s name and address
Administrator’s EIN 650578671
Plan administrator’s name LIFE HEALTHCARE SERVICES
Plan administrator’s address 2170 W 73 STREET, MIAMI, FL, 330160000
Administrator’s telephone number 3058265757

Signature of
Role Plan administrator
Date 2010-06-02
Name of individual signing LIFE HEALTHCARE SERVICES
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
LEONCIO & ASSOCIATES, LLC. Agent -
HERNANDEZ Eduviges President 2170 W. 73RD ST., HIALEAH, FL, 33016
Hernandez Rene Chief Executive Officer 2170 W. 73RD ST., HIALEAH, FL, 33016
Romero Hector Chief Operating Officer 2170 W. 73RD ST., HIALEAH, FL, 33016
Leoncio Rene Chief Financial Officer 2170 W. 73RD ST., HIALEAH, FL, 33016
Hernandez Jessica Secretary 2170 W. 73RD ST., HIALEAH, FL, 33016

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2018-01-24 14331 Commerce Way, Miami Lakes, FL 33016 -
REGISTERED AGENT NAME CHANGED 2015-08-04 Leoncio & Associates, LLC -
REINSTATEMENT 2013-10-10 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2013-09-27 - -
AMENDMENT 2005-11-04 - -
CHANGE OF PRINCIPAL ADDRESS 2005-08-03 2170 W. 73RD ST., HIALEAH, FL 33016 -
CHANGE OF MAILING ADDRESS 2005-08-03 2170 W. 73RD ST., HIALEAH, FL 33016 -
AMENDMENT 1998-10-05 - -
NAME CHANGE AMENDMENT 1998-02-17 LIFE HEALTHCARE SERVICES, INC. -
NAME CHANGE AMENDMENT 1997-11-14 MED-LIFE HEALTHCARE SERVICES, INC. -

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J04900003121 LAPSED 03-26462 CA 04 CIR CT MIAMI-DADE CO CRTHOUSE 2003-01-22 2009-02-05 $17249.76 SPEC MEDICAL, INC., 4654 S.W. 74TH AVENUE, MIAMI, FL 33155

Documents

Name Date
ANNUAL REPORT 2024-01-23
ANNUAL REPORT 2023-01-25
ANNUAL REPORT 2022-01-20
ANNUAL REPORT 2021-01-28
ANNUAL REPORT 2020-01-16
ANNUAL REPORT 2019-01-29
ANNUAL REPORT 2018-01-24
ANNUAL REPORT 2017-02-22
ANNUAL REPORT 2016-01-26
AMENDED ANNUAL REPORT 2015-08-04

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8499297201 2020-04-28 0455 PPP 2170 W. 73RD ST., HIALEAH, FL, 33016
Loan Status Date 2021-07-09
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 280245
Loan Approval Amount (current) 280245
Undisbursed Amount 0
Franchise Name -
Lender Location ID 17616
Servicing Lender Name Seacoast National Bank
Servicing Lender Address 815 Colorado Ave, STUART, FL, 34994-3053
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address HIALEAH, MIAMI-DADE, FL, 33016-0001
Project Congressional District FL-26
Number of Employees 40
NAICS code 532283
Borrower Race Unanswered
Borrower Ethnicity Hispanic or Latino
Business Type Corporation
Originating Lender ID 17616
Originating Lender Name Seacoast National Bank
Originating Lender Address STUART, FL
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 283377.6
Forgiveness Paid Date 2021-06-17

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Companies related by address

No other companies in our directory share the same address as LIFE HEALTHCARE SERVICES, INC.

Date of last update: 03 Apr 2025

Sources: Florida Department of State

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