| Entity Name: | THE WALLIS AGENCY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 08 Aug 1988 (37 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 31 May 1995 (30 years ago) |
| Document Number: | M93278 |
| FEI/EIN Number | 59-2910252 |
| Address: | 1102 Pelican Bay Drive, DAYTONA BEACH, FL 32119 |
| Mail Address: | 1102 Pelican Bay Drive, DAYTONA BEACH, FL 32119 |
| ZIP code: | 32119 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508814088 | 2006-05-05 | 2016-11-25 | 1184 PELICAN BAY DR, DAYTONA BEACH, FL, 321191381, US | 1184 PELICAN BAY DR, DAYTONA BEACH, FL, 321191381, US | |||||||||||||||||||||||||
|
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| Phone | +1 386-676-1118 |
| Fax | 8665719365 |
Authorized person
| Name | COLLEEN MARGARET MCGREW |
| Role | PRESIDENT/ADMINISTRATOR |
| Phone | 3866761118 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | 21282296 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | FL LICENSE # |
| Number | 21280096 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| McGrew, Colleen | Agent | 1102 Pelican Bay Drive, DAYTONA BEACH, FL 32119 |
| Name | Role | Address |
|---|---|---|
| McGrew, Colleen | President | 1102 Pelican Bay Drive, DAYTONA BEACH, FL 32119 |
| Name | Role | Address |
|---|---|---|
| McGrew, Michael | Vice President | 1102 Pelican Bay Drive, DAYTONA BEACH, FL 32119 |
| Name | Role | Address |
|---|---|---|
| McGrew, Michael | Treasurer | 1102 Pelican Bay Drive, DAYTONA BEACH, FL 32119 |
| Name | Role | Address |
|---|---|---|
| McGrew, Colleen | Director | 1102 Pelican Bay Drive, DAYTONA BEACH, FL 32119 |
| McGrew, Michael | Director | 1102 Pelican Bay Drive, DAYTONA BEACH, FL 32119 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000072822 | ONYX HOME CARE | ACTIVE | 2016-07-22 | 2026-12-31 | No data | 1102 PELICAN BAY DR., DAYTONA BEACH, FL, 32119 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2021-01-27 | 1102 Pelican Bay Drive, DAYTONA BEACH, FL 32119 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-12-04 | 1102 Pelican Bay Drive, DAYTONA BEACH, FL 32119 | No data |
| CHANGE OF MAILING ADDRESS | 2020-12-04 | 1102 Pelican Bay Drive, DAYTONA BEACH, FL 32119 | No data |
| REGISTERED AGENT NAME CHANGED | 2015-12-07 | McGrew, Colleen | No data |
| NAME CHANGE AMENDMENT | 1995-05-31 | THE WALLIS AGENCY, INC. | No data |
| REINSTATEMENT | 1995-05-31 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1994-08-26 | No data | No data |
| NAME CHANGE AMENDMENT | 1993-08-05 | THE WALLIS AGENCY OF NORTH EAST FLORIDA, INC. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-11 |
| ANNUAL REPORT | 2023-01-24 |
| ANNUAL REPORT | 2022-02-06 |
| ANNUAL REPORT | 2021-01-27 |
| ANNUAL REPORT | 2020-02-16 |
| ANNUAL REPORT | 2019-02-24 |
| ANNUAL REPORT | 2018-01-11 |
| ANNUAL REPORT | 2017-02-15 |
| ANNUAL REPORT | 2016-02-11 |
| AMENDED ANNUAL REPORT | 2015-12-07 |
Date of last update: 04 Feb 2025
Sources: Florida Department of State
