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LAKE HEALTH CARE CENTER, INC. - Florida Company Profile

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Company Details

Entity Name: LAKE HEALTH CARE CENTER, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 08 Jul 1991 (34 years ago)
Last Event: AMENDMENT
Event Date Filed: 30 Jun 1995 (30 years ago)
Document Number: S66152
FEI/EIN Number 593081973
Address: 910 MT HOMER RD, EUSTIS, FL, 32726, US
Mail Address: 910 MT HOMER RD, EUSTIS, FL, 32726, US
ZIP code: 32726
City: Eustis
County: Lake
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
FERNANDES JAMES S President 910 MT HOMER RD, EUSTIS, FL, 32726
FERNANDES JAMES S Director 910 MT HOMER RD, EUSTIS, FL, 32726
Fernandes James S Agent 910 Mount Homer Rd., Eustis, FL, 32726

National Provider Identifier

NPI Number:
1104829316

Authorized Person:

Name:
LORRI J HARTLEY
Role:
OFFICE ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
No
Selected Taxonomy:
213E00000X - Podiatrist
Is Primary:
No
Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2009-04-22 4850 N. HWY 19A, MOUNT DORA, FL 32757 -
REGISTERED AGENT NAME CHANGED 2007-01-16 STONE, GERKEN PA -
AMENDMENT 1995-06-30 - -
CHANGE OF PRINCIPAL ADDRESS 1994-02-14 910 MT HOMER RD, EUSTIS, FL 32726 -
CHANGE OF MAILING ADDRESS 1994-02-14 910 MT HOMER RD, EUSTIS, FL 32726 -
NAME CHANGE AMENDMENT 1993-12-10 LAKE HEALTH CARE CENTER, INC. -

Documents

Name Date
ANNUAL REPORT 2024-04-10
ANNUAL REPORT 2023-02-10
ANNUAL REPORT 2022-01-25
ANNUAL REPORT 2021-03-10
ANNUAL REPORT 2020-01-21
ANNUAL REPORT 2019-02-26
ANNUAL REPORT 2018-01-18
AMENDED ANNUAL REPORT 2017-09-25
ANNUAL REPORT 2017-02-01
ANNUAL REPORT 2016-02-15

USAspending Awards / Financial Assistance

Date:
2021-04-14
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:
125940.00
Total Face Value Of Loan:
125940.00
Date:
2020-04-07
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:
115200.00
Total Face Value Of Loan:
115200.00
Date:
2020-04-07
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:
115200.00
Total Face Value Of Loan:
115200.00

Paycheck Protection Program

Jobs Reported:
14
Initial Approval Amount:
$115,200
Date Approved:
2020-04-07
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$115,200
Race:
Unanswered
Ethnicity:
Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$116,148.31
Servicing Lender:
Citizens First Bank
Use of Proceeds:
Payroll: $115,200
Jobs Reported:
15
Initial Approval Amount:
$125,940
Date Approved:
2021-04-14
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$125,940
Race:
White
Ethnicity:
Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$126,302.29
Servicing Lender:
Citizens First Bank
Use of Proceeds:
Payroll: $125,938
Utilities: $1

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Date of last update: 01 Aug 2025

Sources: Florida Department of State