| Entity Name: | ALPHA-OMEGA ALLIANCE INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 12 Jan 2004 (21 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 23 Nov 2020 (4 years ago) |
| Document Number: | N04000000391 |
| FEI/EIN Number | 85-3355210 |
| Address: | 7901 4TH ST N, ST. PETERSBURG, FL, 33702, US |
| Mail Address: | 7901 4TH ST N, ST. PETERSBURG, FL, 33702, US |
| ZIP code: | 33702 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578997573 | 2013-08-26 | 2018-08-15 | 31 W 20TH ST, RIVIERA BEACH, FL, 334046155, US | 31 W 20TH ST, RIVIERA BEACH, FL, 33404, US | |||||||||||||||||||||||||||
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| Phone | +1 561-899-9140 |
| Fax | 5613312715 |
| Phone | +1 561-229-1659 |
Authorized person
| Name | MONIQUE D WELLONS |
| Role | EXECUTIVE DIRECTOR |
| Phone | 5618999149 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | No |
| Taxonomy Code | 261QU0200X - Urgent Care Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 015016000 |
| State | FL |
| Name | Role |
|---|---|
| REGISTERED AGENTS INC | Agent |
| Name | Role | Address |
|---|---|---|
| CONNER COLIN | Secretary | 7901 4TH ST N, ST. PETERSBURG, FL, 33702 |
| Name | Role | Address |
|---|---|---|
| CONNER COLIN | Treasurer | 7901 4TH ST N, ST. PETERSBURG, FL, 33702 |
| Name | Role | Address |
|---|---|---|
| CONNER COLIN | Director | 7901 4TH ST N, ST. PETERSBURG, FL, 33702 |
| Name | Role | Address |
|---|---|---|
| CONNER COLIN | President | 7901 4TH ST N, ST. PETERSBURG, FL, 33702 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000101437 | CHANGES WELLNESS CENTER LLC | EXPIRED | 2019-09-16 | 2024-12-31 | No data | 31 W 20TH STREET, SUITE 200, RIVIERA BEACH, FL, 33404 |
| G18000118504 | RIVIERA BEACH INTEGRATED CARE | EXPIRED | 2018-11-02 | 2023-12-31 | No data | 31 W 20TH STREET, SUITE 100, RIVIERA BEACH, FL, 33404 |
| G17000013363 | RIVIERA BEACH URGENT CARE | EXPIRED | 2017-02-05 | 2022-12-31 | No data | 31 W 20TH STREET, RIVIERA BEACH, FL, 33404 |
| G15000000030 | CHANGE'S WELLNESS & RECOVERY CENTER | EXPIRED | 2015-01-01 | 2020-12-31 | No data | 1802 18TH WAY, SUITE 6, WEST PALM BEACH, FL, 33407 |
| G10000000608 | HELPING HANDS CONNECTION | EXPIRED | 2010-01-04 | 2015-12-31 | No data | 1349 W 33RD STREET, RIVIERA BEACH, FL, 33404 |
| G09000139134 | HELPING HANDS COALITION | EXPIRED | 2009-07-27 | 2014-12-31 | No data | 125 OLD DIXIE HIGHWAY, RIVIERA BEACH, FL, 33404 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-02-27 | REGISTERED AGENTS INC | No data |
| CHANGE OF MAILING ADDRESS | 2021-04-15 | 7901 4TH ST N, STE 300, ST. PETERSBURG, FL 33702 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-02-18 | 7901 4TH ST N STE 300, ST. PETERSBURG, FL 33702 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-02-18 | 7901 4TH ST N, STE 300, ST. PETERSBURG, FL 33702 | No data |
| AMENDMENT | 2020-11-23 | No data | No data |
| AMENDMENT | 2018-11-05 | No data | No data |
| AMENDMENT | 2017-03-20 | No data | No data |
| REINSTATEMENT | 2017-02-04 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| NAME CHANGE AMENDMENT | 2013-07-02 | ALPHA-OMEGA ALLIANCE INC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-27 |
| ANNUAL REPORT | 2023-02-20 |
| ANNUAL REPORT | 2022-02-09 |
| ANNUAL REPORT | 2021-04-15 |
| Reg. Agent Change | 2021-02-16 |
| Amendment | 2020-11-23 |
| ANNUAL REPORT | 2020-06-13 |
| ANNUAL REPORT | 2019-05-19 |
| Amendment | 2018-11-05 |
| ANNUAL REPORT | 2018-04-09 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
