South Main Street R-1230 (Credential# 1506633) is licensed (Community Living Arrangement) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2019. The license expiration date date is March 31, 2021. The license status is ACTIVE.
South Main Street R-1230 is licensed with the Department of Consumer Protection of Connecticut. The credential number is #DSLA.021230. The credential type is community living arrangement. The effective date is April 1, 2019. The expiration date is March 31, 2021. The business address is 590 South Main Street, Manchester, CT 06042. The current status is active.
| Licensee Name | South Main Street R-1230 |
| Business Name | South Main Street R-1230 |
| Credential ID | 1506633 |
| Credential Number | DSLA.021230 |
| Credential Type | Community Living Arrangement |
| Business Address |
590 South Main Street Manchester CT 06042 |
| Business Type | BUSINESS |
| Status | ACTIVE - LICENSED |
| Active | 1 |
| Issue Date | 2014-03-06 |
| Effective Date | 2019-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2019-03-22 |
| Street Address | 590 South Main Street |
| City | Manchester |
| State | CT |
| Zip Code | 06042 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Melissa Aiello | 118 Tudor Lane Apt. I, Manchester, CT 06042 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Michelle Carolyn Hayes | 129 Rachel Rd, Harford, CT 06042 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Guotong Quan | 348 Kennedy Road, 348 Kennedy Road, CT 06042 | Nail Technician | 2020-06-26 ~ 2022-03-31 |
| Charity Boakye | 103 Rachel Rd,unit B, Manchester, CT 06042 | Licensed Practical Nurse | ~ |
| Jordan M Kaiser | 40 Tanner St, Manchester, CT 06042 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Tandra Gomes | 80 Alton St., Manchester, CT 06042 | Medication Administration Certification | 2020-05-08 ~ 2022-05-07 |
| James Power | 16 Lawton Rd., Manchester, CT 06042 | Medication Administration Certification | 2018-08-03 ~ 2020-08-02 |
| Tierra Amerson | 66 Phelps Rd., Manchester, CT 06042 | Medication Administration Certification | 2018-07-02 ~ 2020-07-01 |
| Lisa A Surdam | 22 Greenwood Drive, Manchester, CT 06042 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Sharon Morin | 15 Hartland Rd, Manchester, CT 06042 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Find all Licenses in zip 06042 | |||
| City | Manchester |
| Zip Code | 06042 |
| License Type | Community Living Arrangement |
| License Type + County | Community Living Arrangement + Manchester |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| South Main Street | 167 South Main Street, West Hartford, CT 06107 | Community Living Arrangement | 2019-04-01 ~ 2021-03-31 |
| South Main Street R-301 | 441 South Main, Manchester, CT 06040 | Community Living Arrangement | 2020-02-29 ~ 2022-02-28 |
| Main Street R-1208 | 536 Main Street, South Meriden, CT 06451 | Community Living Arrangement | 2018-06-01 ~ 2020-05-31 |
| Matt Puttre | 536 Main Street, South Meriden, CT 06451 | Community Living Arrangement | ~ |
| South Street R-749 | 344 South Street, Plymouth, CT 06782 | Community Living Arrangement | 2018-07-01 ~ 2020-06-30 |
| South Street R-575 | 600 South Street, Coventry, CT 06238 | Community Living Arrangement | 2020-03-01 ~ 2022-02-28 |
| South Street R-791 | 115 South Street, Roxbury, CT 06783 | Community Living Arrangement | 2019-02-01 ~ 2021-01-31 |
| Main Street R-694 | 5715 Main Street, Trumbull, CT 06611 | Community Living Arrangement | 2018-07-01 ~ 2020-06-30 |
| Main Street C-245(i) | 2955 Main Street, Glastonbury, CT 06033 | Community Living Arrangement | 2018-04-17 ~ 2019-04-30 |
| South Street R-1198 | 260 South Street, Plymouth, CT 06782 | Community Living Arrangement | 2019-11-01 ~ 2021-10-31 |
Please comment or provide details below to improve the information on South Main Street R-1230.
| 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).