GAYLORD HOSPITAL (Credential# 930919) is licensed (Chronic Disease Hospital) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2018. The license expiration date date is March 31, 2020. The license status is ACTIVE IN RENEWAL.
GAYLORD HOSPITAL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CDH.00002CD. The credential type is chronic disease hospital. The effective date is April 1, 2018. The expiration date is March 31, 2020. The business address is 50 Gaylord Farm Rd, Wallingford, CT 06492-2828. The current status is active in renewal.
| Licensee Name | GAYLORD HOSPITAL |
| Business Name | GAYLORD HOSPITAL |
| Doing Business As | GAYLORD HOSPITAL |
| Credential ID | 930919 |
| Credential Number | CDH.00002CD |
| Credential Type | Chronic Disease Hospital |
| Business Address |
50 Gaylord Farm Rd Wallingford CT 06492-2828 |
| Business Type | CORPORATION |
| Status | ACTIVE IN RENEWAL - CURRENT |
| Active | 1 |
| Issue Date | 2010-04-01 |
| Effective Date | 2018-04-01 |
| Expiration Date | 2020-03-31 |
| Refresh Date | 2020-02-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 152051 | CSP.0012032-HOSP | CONTROLLED SUBSTANCE REGISTRATION FOR HOSPITALS | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 5041 | FDR.0000734 | FROZEN DESSERT RETAILER | 2009-01-01 - 2009-12-31 | INACTIVE |
| Street Address | 50 GAYLORD FARM RD |
| City | WALLINGFORD |
| State | CT |
| Zip Code | 06492-2828 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jonathan C Woodhouse | 50 Gaylord Farm Rd, Wallingford, CT 06492-2828 | Psychologist | 2020-07-01 ~ 2021-06-30 |
| Ogechukwu Kingsley Egini | 50 Gaylord Farm Rd, Wallingford, CT 06492 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Gaylord Hospital | 50 Gaylord Farm Rd, Wallingford, CT 06492-2828 | Controlled Substance Registration for Hospitals | 2019-03-01 ~ 2021-02-28 |
| David J Chen | 50 Gaylord Farm Rd, Wallingford, CT 06492-2828 | Controlled Substance Registration for Practitioner | 2018-12-06 ~ 2021-02-28 |
| Lokesh Mahendrakar | 50 Gaylord Farm Rd, Wallingford, CT 06492-2828 | Physician/surgeon | 2018-08-01 ~ 2019-07-31 |
| Alexandru C Dinu | 50 Gaylord Farm Rd, Wallingford, CT 06492-2828 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrea Zola | 53 Alison Ave., Wallingford, CT 06492 | Esthetician | ~ |
| Kyungok Choi | 90 Ward St, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Giang Nguyen | 45 Country Club Lane, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-11-30 |
| Lc Artistry | 207 North Colony Road, Wallingford, CT 06492 | Esthetician | ~ |
| Katie Lee | 20 Angela Dr, Wallingford, CT 06492 | Paramedic | 2020-09-01 ~ 2021-08-31 |
| Vinny's Deli | 567 Center St, Wallingford, CT 06492 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Michele Ruggiero | 26 Leigus Road, Wallingford, CT 06492 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Dianna K Ball | 104 Simpson Ave, Wallingford, CT 06492 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
| Ann Marie Richardson | 20 Mohawk Drive, Wallingford, CT 06492 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Joann Hummel | 60 Deer Run Road, Wallingford, CT 06492 | Medication Administration Certification | 2018-08-21 ~ 2020-08-20 |
| Find all Licenses in zip 06492 | |||
| City | WALLINGFORD |
| Zip Code | 06492 |
| License Type | Chronic Disease Hospital |
| License Type + County | Chronic Disease Hospital + WALLINGFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gaylord Farm Association Dba Gaylord Hospital | Box 400, Gaylord Farm Rd, Wallingford, CT 06492 | Public Charity-exempt From Financial Requirements | ~ |
| Gaylord Hospital Inc | Po Box 400, Wallingford, CT 06492-7048 | Public Charity-exempt From Financial Requirements | ~ |
| The Stamford Hospital · The Stamford Rehabilitation Hospital | 128 Strawberry Hill Avenue, Stamford, CT 06904 | Chronic Disease Hospital | 2000-10-01 ~ 2002-09-30 |
| Hartford Chronic Disease Hospital | 100 Main St, Hartford, CT 06106-1805 | Chronic Disease Hospital | ~ |
| Hospital for Special Care | 2150 Corbin Ave, New Britain, CT 06053-2266 | Chronic Disease Hospital | 2020-04-01 ~ 2022-03-31 |
| Hebrew Home and Hospital Incorporated · Hebrew Home and Hospital, Incorporated | 1 Abrahms Blvd, West Hartford, CT 06117-1508 | Chronic Disease Hospital | 2018-10-01 ~ 2020-09-30 |
| Mount Sinai Rehabilitation Hospital Inc. · Mount Sinai Rehabilitation Hospital, Inc. | 490 Blue Hills Ave, Hartford, CT 06112-1513 | Chronic Disease Hospital | 2019-04-01 ~ 2021-03-31 |
| Ymca/gaylord Early Learning Center | 61 Gaylord Farm Road- Gaylord Hospital-bldg 31, Wallingford, CT 06492 | Child Care Center | 2013-04-01 ~ 2017-03-31 |
| Carolton Chronic & Convalescent Hospital Inc. · Carolton Chronic & Convalescent Hospital, Inc. | 400 Mill Plain Rd, Fairfield, CT 06824-5048 | Chronic & Convalescent Nursing Home | 2019-01-01 ~ 2020-12-31 |
| Sylvia Lack Md | Gaylord Hospital, Wallingford, CT 06492 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
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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).