EVERGREEN WOODS (Credential# 1392469) is licensed (Chronic & Convalescent Nursing Home) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2018. The license expiration date date is September 30, 2020. The license status is ACTIVE.
EVERGREEN WOODS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CCNH.0002438. The credential type is chronic & convalescent nursing home. The effective date is October 1, 2018. The expiration date is September 30, 2020. The business address is 88 Notch Hill Rd, North Branford, CT 06471-1846. The current status is active.
| Licensee Name | EVERGREEN WOODS |
| Business Name | EVERGREEN WOODS |
| Doing Business As | EVERGREEN WOODS |
| Credential ID | 1392469 |
| Credential Number | CCNH.0002438 |
| Credential Type | Chronic & Convalescent Nursing Home |
| Business Address |
88 Notch Hill Rd North Branford CT 06471-1846 |
| Business Type | LIMITED LIABILITY COMPANY |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-12-06 |
| Effective Date | 2018-10-01 |
| Expiration Date | 2020-09-30 |
| Refresh Date | 2018-11-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 930073 | ALSA.0000092 | Assisted Living Service Agency | 2009-04-01 | 2015-04-01 - 2017-03-31 | CLOSED |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Evergreen Woods | 88 Notch Hill Road, North Branford, CT 06471 | Assisted Living Service Agency | 2018-10-01 ~ 2020-09-30 |
| Evergreen Woods · Ronald Miller | 88 Notch Hill Road, North Branford, CT 06471 | Controlled Substance Registration for Practitioner | 2015-12-04 ~ 2017-02-28 |
| Evergreen Woods | 88 Notch Hill Road, North Branford, CT 06417 | Vending Machine Operator | 1998-07-01 ~ 1999-06-30 |
| Street Address | 88 NOTCH HILL RD |
| City | NORTH BRANFORD |
| State | CT |
| Zip Code | 06471-1846 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Country Store At Evergreen Wood | 88 Notch Hill Rd, North Branford, CT 06471-1846 | Retail Dairy Store | 2019-08-16 ~ 2021-06-30 |
| Donald O Thompson Jr · Evergreen Woods | 88 Notch Hill Rd, North Branford, CT 06471-1846 | Restaurant Caterer | 2019-09-13 ~ 2021-01-12 |
| Shoreline Life Care LLC · Evergreen Woods Health Center | 88 Notch Hill Rd, North Branford, CT 06471-1846 | Chronic & Convalescent Nursing Home | 2015-01-01 ~ 2016-12-31 |
| Margaret Benton | 88 Notch Hill Rd, North Branford, CT 06471 | Registered Nurse | 2012-05-01 ~ 2013-04-30 |
| Martin E Gordon Md | 88 Notch Hill Rd, North Branford, CT 06471 | Physician/surgeon | 2007-07-31 ~ 2008-08-31 |
| Helen E Prouty | 88 Notch Hill Rd, North Branford, CT 06471 | Registered Nurse | 1996-11-12 ~ 1998-01-31 |
| Frederick Kessler | 88 Notch Hill Rd, North Branford, CT 06471 | Controlled Substance Registration for Practitioner | 1993-11-16 ~ 1995-12-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Martha F Leonard | 88 Notch Hill Road, North Branford, CT 06471-1846 | Physician/surgeon | 2000-04-04 ~ 2001-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Qilin Piao | 280 Brandford Rd, Brandford, CT 06471 | Nail Technician | ~ |
| Jill L Williams | 7 Harrison Rd, North Branford, CT 06471 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Sophia Ivana Didiano | 201 Branford Rd, N Branford, CT 06471 | Master's Level Social Worker | ~ |
| Rachel Lauren Cohen | North Branford Dental Group, North Branford, CT 06471 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Concepcion Isela De Mejia | 999 Foxon Rd Unit 9, North Branford, CT 06471 | Nail Technician | ~ |
| Cherry Hill Construction & Demolition · Ciro Associates LLC | 51 Ciro Rd, N Branford, CT 06471 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Rose Orhcards Farm Market | 33 Route 139, North Branford, CT 06471 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Sandra L Cappello | 33 Edgewood Dr, North Branford, CT 06471 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Melissa T Anderson | 14 Pine Hollow Rd, North Branford, CT 06471 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| A Best Buy Premium Fuel & Trucking LLC | 196 West Pond Ext, North Branford, CT 06471 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06471 | |||
| City | NORTH BRANFORD |
| Zip Code | 06471 |
| License Type | Chronic & Convalescent Nursing Home |
| License Type + County | Chronic & Convalescent Nursing Home + NORTH BRANFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Evergreen Healthcare Center · Evergreen Health Care Center | 205 Chestnut Hill Rd Route 190, Stafford Springs, CT 06076-4005 | Chronic & Convalescent Nursing Home | 2014-07-01 ~ 2016-06-30 |
| Shoreline Life Care LLC · Evergreen Woods Health Center | 88 Notch Hill Rd, North Branford, CT 06471-1846 | Chronic & Convalescent Nursing Home | 2015-01-01 ~ 2016-12-31 |
| Evergreen Health Care Center | 205 Chestnut Hill Rd, Stafford Springs, CT 06076-4005 | Chronic & Convalescent Nursing Home | 2019-10-01 ~ 2021-09-30 |
| Greenwich Woods Limited Partnership · Greenwich Woods Health Care Center | 1165 King St, Greenwich, CT 06831-2935 | Chronic & Convalescent Nursing Home | 2014-04-01 ~ 2016-03-31 |
| Greenwich Woods Rehabilitation | 1165 King St, Greenwich, CT 06831-2935 | Chronic & Convalescent Nursing Home | 2019-01-01 ~ 2020-12-31 |
| Litchfield Woods Health Care Center | 255 Roberts St, Torrington, CT 06790-4744 | Chronic & Convalescent Nursing Homes and Rest Home With Nursing Supervision | 2020-04-01 ~ 2022-03-31 |
| Apple Rehab Laurel Woods | 451 North High St, East Haven, CT 06512-1555 | Chronic & Convalescent Nursing Home | 2019-01-01 ~ 2020-12-31 |
| Pomperaug Woods Health Center | 80 Heritage Rd, Southbury, CT 06488-1882 | Chronic & Convalescent Nursing Home | 2018-04-01 ~ 2020-03-31 |
| Sheriden Woods Health Care Center | 321 Stonecrest Dr, Bristol, CT 06010-5378 | Chronic & Convalescent Nursing Home | 2019-07-01 ~ 2021-06-30 |
| Carolton Chronic & Convalescent Hospital Inc. · Carolton Chronic & Convalescent Hospital, Inc. | 400 Mill Plain Rd, Fairfield, CT 06824-5048 | Chronic & Convalescent Nursing Home | 2019-01-01 ~ 2020-12-31 |
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| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).