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ELLIS HOME CARE AGENCY, CORP - Florida Company Profile

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Company Details

Entity Name: ELLIS HOME CARE AGENCY, CORP
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 12 May 2021 (4 years ago)
Document Number: P21000045274
FEI/EIN Number 86-3985591
Address: 1001 N. Federal Highway, Hallandale Beach, FL, 33009, US
Mail Address: 1221 S 23 AVE, HOLLYWOOD, FL, 33020, US
ZIP code: 33009
City: Hallandale
County: Broward
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
ELLIS BETHANY Chief Executive Officer 1221 S 23 AVE, HOLLYWOOD, FL, 33020
Taylor Bernadine Chairman 1001 N. Federal Highway, Hallandale Beach, FL, 33009
ELLIS BETHANY Agent 1001 N. Federal Highway, Hallandale Beach, FL, 33009

National Provider Identifier

NPI Number:
1780414896
Certification Date:
2024-08-04

Authorized Person:

Name:
BETHANY ELLIS
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363LC1500X - Community Health Nurse Practitioner
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-04-30 1001 N. Federal Highway, Ste 200, Hallandale Beach, FL 33009 -
REGISTERED AGENT ADDRESS CHANGED 2023-04-30 1001 N. Federal Highway, Ste 200, Hallandale Beach, FL 33009 -

Documents

Name Date
ANNUAL REPORT 2024-03-04
ANNUAL REPORT 2023-04-30
ANNUAL REPORT 2022-04-28
Domestic Profit 2021-05-12

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Date of last update: 02 Aug 2025

Sources: Florida Department of State