EVERGREEN HEALTHCARE CENTER (Credential# 930657) is licensed (Chronic & Convalescent Nursing Home) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2014. The license expiration date date is June 30, 2016. The license status is INACTIVE.
EVERGREEN HEALTHCARE CENTER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CCNH.002081C. The credential type is chronic & convalescent nursing home. The effective date is July 1, 2014. The expiration date is June 30, 2016. The business address is 205 Chestnut Hill Rd Route 190, Stafford Springs, CT 06076-4005. The current status is inactive.
| Licensee Name | EVERGREEN HEALTHCARE CENTER |
| Business Name | EVERGREEN HEALTHCARE CENTER |
| Doing Business As | EVERGREEN HEALTH CARE CENTER |
| Credential ID | 930657 |
| Credential Number | CCNH.002081C |
| Credential Type | Chronic & Convalescent Nursing Home |
| Business Address |
205 Chestnut Hill Rd Route 190 Stafford Springs CT 06076-4005 |
| Business Type | BUSINESS |
| Status | INACTIVE - INACTIVE |
| Issue Date | 2008-07-01 |
| Effective Date | 2014-07-01 |
| Expiration Date | 2016-06-30 |
| Refresh Date | 2016-01-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1047851 | NATP.000023-CCNH | Nurse Aide Training Program-Nursing Home | 1990-09-25 | 1990-09-25 - 2015-10-28 | INACTIVE |
| Street Address | 205 CHESTNUT HILL RD ROUTE 190 |
| City | STAFFORD SPRINGS |
| State | CT |
| Zip Code | 06076-4005 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Johnson Memorial Hospital, Inc. · Johnson Memorial Hospital | 201 Chestnut Hill Rd, Stafford Springs, CT 06076-4005 | General Hospital | 2020-01-01 ~ 2021-12-31 |
| Evergreen Health Care Center | 205 Chestnut Hill Rd, Stafford Springs, CT 06076-4005 | Chronic & Convalescent Nursing Home | 2019-10-01 ~ 2021-09-30 |
| Johnson Memorial Hospital Inc of Stafford Springs Ct | 201 Chestnut Hill Rd Route 190, Stafford Springs, CT 06076-4005 | Controlled Substance Registration for Hospitals | 2019-03-01 ~ 2021-02-28 |
| Asha A Dhamija | 201 Chestnut Hill Rd, Stafford Springs, CT 06076-4005 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Shawn R Brady Pa-c | 201 Chestnut Hill Rd, Stafford Springs, CT 06076-4005 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Mahendra Patel | 201 Chestnut Hill Rd, Stafford Springs, CT 06076-4005 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Johnson Memorial Hospital Inc. · Johnson Memorial Hospital | 201 Chestnut Hill Rd, Stafford Springs, CT 06076-4005 | General Hospital | 2014-01-01 ~ 2015-12-31 |
| Johnson Memorial Medical Center | 201 Chestnut Hill Rd, Stafford Springs, CT 06076-4005 | Bazaar Permit Class 3 | 2014-08-25 ~ 2014-08-25 |
| Dawn R Gertson Md | 201 Chestnut Hill Rd, Stafford Springs, CT 06076-4005 | Controlled Substance Registration for Practitioner | 2009-03-11 ~ 2011-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stacia M Yarrows | 105 Tolland Ave, Stafford Springs, CT 06076 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Ct Canine Solutions | 403 Bigelow Hollow Rd, Union, CT 06076 | Training Facility | 2020-06-23 ~ 2021-12-31 |
| Jill A Bower | 134 W Stafford Road, Stafford Springs, CT 06076 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Marcia B Lombardo | 53 A East Main Street, Stafford Springs, CT 06076 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Linsley S Mordasky | 40 Dunay Road, Stafford Springs, CT 06076 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Nancy L Kapplan · Zembko | 2 Webster Road, Union, CT 06076 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Daves Soda and Pet City | 97-cw Stafford Rd, Stafford Springs, CT 06076 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Connecticut Ready Mix LLC | 10 Meadow Ln 7 Yard Plant, Stafford Springs, CT 06076 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Stafford Springs Enterprises | 55 West St, Stafford Springs, CT 06076 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Melissa J Lewis | 357 Monson Road, Stafford Springs, CT 06076 | Massage Therapist | 2020-08-01 ~ 2022-07-31 |
| Find all Licenses in zip 06076 | |||
| City | STAFFORD SPRINGS |
| Zip Code | 06076 |
| License Type | Chronic & Convalescent Nursing Home |
| License Type + County | Chronic & Convalescent Nursing Home + STAFFORD SPRINGS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Northbridge Healthcare Center Inc. · Northbridge Healthcare Center | 2875 Main St, Bridgeport, CT 06606-4204 | Chronic & Convalescent Nursing Home | 2018-10-01 ~ 2020-09-30 |
| Greensprings Healthcare and Rehabilitation Center · Green Springs Healthcare and Rehabilitation Center | 51 Applegate Ln, East Hartford, CT 06118-1201 | Chronic & Convalescent Nursing Home | 2016-10-01 ~ 2018-09-30 |
| Cromwell Healthcare & Rehabilitation Center | 385 Main Street, Cromwell, CT 06416 | Chronic & Convalescent Nursing Homes and Rest Home With Nursing Supervision | 2008-08-01 ~ 2010-09-30 |
| Tc Healthcare I LLC · Griswold Healthcare and Rehabilitation Center, Roncalli Health Care - Jewitt City | 97 Preston Rd, Griswold, CT 06351-2516 | Chronic & Convalescent Nursing Home | 2008-07-07 ~ 2010-09-30 |
| Bickford Healthcare Center · Bickford Health Care Center | 14 Main St, Windsor Locks, CT 06096-2307 | Chronic & Convalescent Nursing Home | 2019-04-01 ~ 2021-03-31 |
| Highlands Healthcare Center · Highlands Health Care Center, The | 745 Highland Ave, Cheshire, CT 06410-1625 | Chronic & Convalescent Nursing Home | 2014-07-01 ~ 2016-06-30 |
| Grandview Rehabilitation and Healthcare Center | 55 Grand St, New Britain, CT 06052-2021 | Chronic & Convalescent Nursing Home | 2020-01-01 ~ 2021-12-31 |
| Danbury Healthcare Center · Danbury Health Care Center | 107 Osborne St, Danbury, CT 06810-6016 | Chronic & Convalescent Nursing Home | 2013-07-01 ~ 2015-06-30 |
| Westport Healthcare Center · Westport Health Care Center | 1 Burr Rd, Westport, CT 06880-4220 | Chronic & Convalescent Nursing Home | 2013-07-01 ~ 2015-06-30 |
| Paradigm Healthcare Center of Prospect LLC · Paradigm Healthcare Center of Prospect, LLC | 25 Royal Crest Dr, Prospect, CT 06712-1486 | Chronic & Convalescent Nursing Home | 2015-07-01 ~ 2017-06-30 |
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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).