EDWIN HILL
Nursing Home Administrator


Address: 16287 Barryknoll Way, Granger, IN 46530

EDWIN HILL (Credential# 765382) is licensed (Nursing Home Administrator) with Connecticut Department of Consumer Protection. The license effective date is June 6, 2002. The license expiration date date is June 30, 2003. The license status is INACTIVE.

Business Overview

EDWIN HILL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #36.001136. The credential type is nursing home administrator. The effective date is June 6, 2002. The expiration date is June 30, 2003. The business address is 16287 Barryknoll Way, Granger, IN 46530. The current status is inactive.

Basic Information

Licensee Name EDWIN HILL
Credential ID 765382
Credential Number 36.001136
Credential Type Nursing Home Administrator
Business Address 16287 Barryknoll Way
Granger
IN 46530
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1988-02-05
Effective Date 2002-06-06
Expiration Date 2003-06-30
Refresh Date 2009-07-08

Office Location

Street Address 16287 Barryknoll Way
City Granger
State IN
Zip Code 46530

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Teresa Marie Kucharski 14426 Farmgate Drive, Granger, IN 46530 Registered Nurse ~
Franch Mabelle S Serna 51953 Trenton Woods Dr, Granger, IN 46530 Physical Therapist 2019-10-01 ~ 2020-09-30
Kenneth R Weston 16576 Bandon Lane, Granger, IN 46530 Electrical Unlimited Journeyperson 2019-10-01 ~ 2020-09-30
Michael Baker IIi 51573 Hendon Hall Ct, Granger, IN 46530 Professional Engineer 1987-03-12 ~ 1988-01-31
Daniel L. Phillips 15715 Cedar Cove Drive, Granger, IN 46530 Certified Public Accountant License 2004-01-01 ~ 2004-12-31
Marlene D Ford Aprn 6030 Mission Trail Apt 2, Granger, IN 46530 Advanced Practice Registered Nurse 2006-03-20 ~ 2007-05-31
John W Klawitter 50778 Elk Trail, Granger, IN 46530 Physical Therapist 1995-07-21 ~ 1996-07-31
Kenneth P Anderson Jr 11034 Birch Lake, Granger, IN 46530 Physician/surgeon 2001-06-11 ~ 2002-06-30
Joan M Gruner 50689 Woodbury Way, Granger, IN 46530 Registered Nurse 1994-10-11 ~ 1995-11-30
Ann T Mccoy 51800 Waterford Green Drt, Granger, IN 46530 Dental Hygienist 2006-03-29 ~ 2006-12-31
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Competitor

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City Granger
Zip Code 46530
License Type Nursing Home Administrator
License Type + County Nursing Home Administrator + Granger

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Dataset Information

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).

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