FERNWOOD WEST (Credential# 930546) is licensed (Residential Care Facility) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2018. The license expiration date date is December 31, 2020. The license status is ACTIVE.
FERNWOOD WEST is licensed with the Department of Consumer Protection of Connecticut. The credential number is #RCH.1722RCH. The credential type is residential care facility. The effective date is January 1, 2018. The expiration date is December 31, 2020. The business address is 521 Prospect Ave, Hartford, CT 06105-2921. The current status is active.
Licensee Name | FERNWOOD WEST |
Business Name | FERNWOOD WEST |
Doing Business As | FERNWOOD WEST |
Credential ID | 930546 |
Credential Number | RCH.1722RCH |
Credential Type | Residential Care Facility |
Business Address |
521 Prospect Ave Hartford CT 06105-2921 |
Business Type | BUSINESS |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2009-01-01 |
Effective Date | 2018-01-01 |
Expiration Date | 2020-12-31 |
Refresh Date | 2017-12-07 |
Street Address | 521 PROSPECT AVE |
City | HARTFORD |
State | CT |
Zip Code | 06105-2921 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Hartford Community Loan Fund | 215 Garden Street, Hartford, CT 06105 | Public Charity | 2019-06-01 ~ 2020-05-31 |
Kathleen C Hobart | 81 Fern Street, Hartford, CT 06105 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Khadija Seidi | 196 Laurel St, Hartford, CT 06105 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
Stuart W Alpert | 200 N Beacon St, Hartford, CT 06105 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
Christina Perez | 4 Atwood Street, Hartford, CT 06105 | Marital and Family Therapist | 2020-07-01 ~ 2021-06-30 |
Ashley Ameena Bachan | 25 Owen Street, Hartford, CT 06105 | Licensed Practical Nurse | 2020-06-01 ~ 2021-05-31 |
Dhruti Anilkant Mankodi | Hospitalist Department, Hartford, CT 06105 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Jacqueline Alexandra Raymond | 24 Owen Street, Hartford, CT 06105 | Esthetician | 2020-06-22 ~ 2021-10-31 |
Hortense Bates | 48-50 Atwood Street, Hartford, CT 06105 | Medication Administration Certification | 2020-08-20 ~ 2022-08-19 |
Nicolas Archambault | 169 Sigourney Street, Hartford, CT 06105 | Emergency Medical Technician | ~ |
Find all Licenses in zip 06105 |
City | HARTFORD |
Zip Code | 06105 |
License Type | Residential Care Facility |
License Type + County | Residential Care Facility + HARTFORD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Fernwood Manor Inc · Fernwood Manor, Inc. | 27-29 Girard Ave, Hartford, CT 06105 | Residential Care Facility | 2018-04-01 ~ 2021-03-31 |
Fernwood Rest Home Inc · Fernwood Rest Home, Inc | 400 Torrington Rd, Litchfield, CT 06759-2702 | Residential Care Facility | 2018-04-01 ~ 2021-03-31 |
Fernwood Construction LLC | 9 Fernwood Dr, Simsbury, CT 06070-2901 | Home Improvement Contractor | 2019-09-06 ~ 2020-11-30 |
Fernwood Property Service LLC | 11 Fernwood Street, Wethersfield, CT 06109 | Home Improvement Contractor | 2003-12-03 ~ 2004-11-30 |
Graciela West | 39 Fernwood Dr, Cheshire, CT 06410 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Chester F Cullen Md | 27 Fernwood Rd, West Hartford, CT 06119 | Physician/surgeon | 2005-11-22 ~ 2006-12-31 |
Talbot Fucci | 16 Fernwood Rd, West Hartford, CT 06119-1163 | Wholesaler Salesman | 2001-07-03 ~ 2013-01-31 |
Catharine Christensen | 12 Fernwood Rd, West Hartford, CT 06119 | Registered Nurse | 2000-05-24 ~ 2001-06-30 |
Jaye Ladinsky Horowitz | 33 Fernwood Rd, West Hartford, CT 06119-1144 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
James K O'brien | 22 Fernwood Rd, West Hartford, CT 06119 | Real Estate Salesperson | 2004-08-25 ~ 2005-05-31 |
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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).