FAIR HAVEN COMMUNITY HEALTH CENTER AT BH CARE (Credential# 1469380) is licensed (Outpatient Clinic) with Connecticut Department of Consumer Protection. The license effective date is November 20, 2017. The license expiration date date is December 31, 2021. The license status is ACTIVE.
FAIR HAVEN COMMUNITY HEALTH CENTER AT BH CARE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #OPC.0000901. The credential type is outpatient clinic. The effective date is November 20, 2017. The expiration date is December 31, 2021. The business address is 14 Sycamore Way, Branford, CT 06405. The current status is active.
| Licensee Name | FAIR HAVEN COMMUNITY HEALTH CENTER AT BH CARE |
| Business Name | FAIR HAVEN COMMUNITY HEALTH CENTER AT BH CARE |
| Doing Business As | FAIR HAVEN COMMUNITY HEALTHCENTER AT BH CARE |
| Credential ID | 1469380 |
| Credential Number | OPC.0000901 |
| Credential Type | Outpatient Clinic |
| Business Address |
14 Sycamore Way Branford CT 06405 |
| Business Type | BUSINESS |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-01-03 |
| Effective Date | 2017-11-20 |
| Expiration Date | 2021-12-31 |
| Refresh Date | 2018-01-05 |
| Street Address | 14 SYCAMORE WAY |
| City | BRANFORD |
| State | CT |
| Zip Code | 06405 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bhcare, Inc.-shoreline Clinic | 14 Sycamore Way, Branford, CT 06405-6551 | Psychiatric Outpatient Clinic | 2020-01-01 ~ 2023-12-31 |
| Leigh N Nathan | 14 Sycamore Way, Branford, CT 06405 | Resident Physician | 2014-09-01 ~ 2021-06-30 |
| Cornell Scott-hill Health Center At Bhcare Shoreline | 14 Sycamore Way, Branford, CT 06405-6551 | Outpatient Clinic | 2014-04-01 ~ 2018-03-31 |
| Harbor Health Services Inc | 14 Sycamore Way, Branford, CT 06405-6551 | Public Charity | 2011-12-01 ~ 2012-11-30 |
| Harbor Health Services Inc. · Harbor Health | 14 Sycamore Way, Branford, CT 06405 | Substance Abuse | 2009-10-01 ~ 2011-09-30 |
| Harbor Health Services Inc. · Harbor Health Services, Inc. | 14 Sycamore Way, Branford, CT 06405 | Psychiatric Outpatient Clinic | 2007-10-01 ~ 2011-09-30 |
| Tracy Hughes | 14 Sycamore Way, Branford, CT 06405 | Licensed Clinical Social Worker | 2001-02-02 ~ 2002-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Raymond M Johnson | 39 Bayberry Lane, Branford, CT 06405 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kirsten M Ranciato | 288 East Main Street, Branford, CT 06405 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Bimala Khadka Thapa | 726 Robert Frost Dr., Branford, CT 06405 | Nail Technician | ~ |
| Paul E Basile | 42 Valley Brook Road South, Branford, CT 06405 | Perfusionist | 2020-08-01 ~ 2021-07-31 |
| Lupe Monica Placencia-muy | 100 East Main Street 2nd Fl, Branford, CT 06405 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-02-28 |
| Bridget J Jennings | 159 Queach Road, Branford, CT 06405 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Ujeli Acharya | 21 Burban Drive, Branford, CT 06405 | Nail Technician | ~ |
| Cathleen Smith | 50 First Avenue, Branford, CT 06405 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Gita Thapa | 94 Village Lane, Branford, CT 06405 | Nail Technician | ~ |
| Cycle Venture Partners Fund I Lp - Lumeda Series 1 | 50 Limewood Avenue, Branford, CT 06405 | Securities - Exemptions | 2020-06-17 ~ |
| Find all Licenses in zip 06405 | |||
| City | BRANFORD |
| Zip Code | 06405 |
| License Type | Outpatient Clinic |
| License Type + County | Outpatient Clinic + BRANFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Fair Haven Community Health Center At Maas · Fair Haven Community Health Care At Maas | 426 East Street, New Haven, CT 06511 | Outpatient Clinic | 2016-05-16 ~ 2020-03-31 |
| Fair Haven Community Health Center Inc. · The Body Shop At Fair Haven Middle School | 130-b Leederhill Avenue, Hamden, CT 06517 | Outpatient Clinic | 2003-10-01 ~ 2005-09-30 |
| Fair Haven Community Health Clinic Inc. · Fair Haven K-8 School Based Health Center | 164 Grand Ave, New Haven, CT 06513-3938 | Outpatient Clinic | 2016-10-01 ~ 2020-09-30 |
| Fair Haven Community Health Clinic Inc. · School Based Health Center At Clinton Avenue School | 130b Leederhill Drive, Hamden, CT 06517 | Outpatient Clinic | 2004-10-18 ~ 2008-09-30 |
| Fair Haven Community Health Center, Smiles 2 Go | 60 Commerce St, East Haven, CT 06512-4145 | Outpatient Clinic | 2018-01-01 ~ 2020-12-31 |
| Fair Haven Community Health Clinic Inc. · Fair Haven Community Health Center | 374 Grand Ave, New Haven, CT 06513-3733 | Outpatient Clinic | 2016-10-01 ~ 2020-09-30 |
| Fair Haven Community Health Care At 50 Grand | 50 Grand Ave, New Haven, CT 06513-3949 | Psychiatric Outpatient Clinic | 2019-10-01 ~ 2023-09-30 |
| Fair Haven Community Health Care At Columbus Family Academy · Fair Haven Community Health Clinic, Inc. | 255 Blatchley Ave, New Haven, CT 06513-3509 | Outpatient Clinic | 2019-09-19 ~ 2022-09-30 |
| Fair Haven Community Health Center At Bella Vista | 339 Eastern St, New Haven, CT 06513-2463 | Outpatient Clinic | 2016-10-01 ~ 2020-09-30 |
| Fair Haven Community Health Care At East Haven | 346 Hemingway Ave, East Haven, CT 06512-2317 | Outpatient Clinic | 2020-04-01 ~ 2023-03-31 |
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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).