MASONICARE HEALTH CENTER (Credential# 930921) is licensed (Hospitals for Mentally Ill Persons) 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.
MASONICARE HEALTH CENTER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #PSY.00H0008. The credential type is hospitals for mentally ill persons. The effective date is April 1, 2018. The expiration date is March 31, 2020. The business address is 22 Masonic Ave Bldg Sturges, Wallingford, CT 06492-3048. The current status is active in renewal.
| Licensee Name | MASONICARE HEALTH CENTER |
| Business Name | MASONICARE HEALTH CENTER |
| Doing Business As | MASONICARE HEALTH CENTER |
| Credential ID | 930921 |
| Credential Number | PSY.00H0008 |
| Credential Type | Hospitals for Mentally Ill Persons |
| Business Address |
22 Masonic Ave Bldg Sturges Wallingford CT 06492-3048 |
| 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 |
|---|---|---|---|---|---|
| 933503 | PSY.0000072 | Hospitals for Mentally Ill Persons | 2012-08-16 - | INACTIVE |
| Business ID | 0159413 |
| Business Name | MASONICARE HEALTH CENTER |
| Registration Date | 1984-08-01 |
| State Citizenship | Domestic/CT |
| Business Type | Non-Stock |
| Business Status | Active |
| Agent Name | MCR&P SERVICE CORPORATION |
| Agent Business Address | C/O MURTHA CULLINA LLP, CITYPLACE I, 185 ASYLUM STREET, HARTFORD, CT, 06103-3469 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Masonicare Health Center | 22 Masonic Ave, Wallingford, CT 06492-3048 | Residential Care Facility | 2018-01-01 ~ 2020-12-31 |
| Street Address | 22 MASONIC AVE BLDG STURGES |
| City | WALLINGFORD |
| State | CT |
| Zip Code | 06492-3048 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Masonic Management Services Corporation | 22 Masonic Ave, Wallingford, CT 06492-3048 | Nursing Home Management Company | 2014-03-13 ~ 2023-12-31 |
| Masonic Child Development Center | 22 Masonic Ave, Wallingford, CT 06492-3048 | Child Care Center | 2017-07-01 ~ 2021-06-30 |
| Ronald Schwartz, Medical Director | 22 Masonic Ave, Wallingford, CT 06492-3048 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Masonicare Health Center | 22 Masonic Ave, Wallingford, CT 06492-3048 | Residential Care Facility | 2018-01-01 ~ 2020-12-31 |
| Masonicare At Home Inc | 22 Masonic Ave, Wallingford, CT 06492-3048 | Homemaker Companion Agency | 2019-11-01 ~ 2020-10-31 |
| Wilfredo Mario Morges | 22 Masonic Ave, Wallingford, CT 06492-3048 | Registered Nurse | 2018-10-01 ~ 2019-09-30 |
| Candice Michelle Kalipersad | 22 Masonic Ave, Wallingford, CT 06492-3048 | Controlled Substance Registration for Practitioner | 2017-10-31 ~ 2019-02-28 |
| Linda Cunningham | 22 Masonic Ave, Yalesville, CT 06492-3048 | Registered Nurse | 2012-07-01 ~ 2013-06-30 |
| 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 | Hospitals for Mentally Ill Persons |
| License Type + County | Hospitals for Mentally Ill Persons + WALLINGFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Masonicare Home Health and Hospice | 104 South Turnpike Road, Wallingford, CT 06492 | Assisted Living Service Agency | 2018-10-01 ~ 2020-09-30 |
| Masonicare Home Health and Hospice Inc. · Masonicare Home Health and Hospice | 33 N Plains Industrial Rd, Wallingford, CT 06492-5841 | Assisted Living Service Agency | 2014-10-01 ~ 2016-09-30 |
| Masonicare Partners Home Health and Hospice Inc. · Masonicare Partners Home Health and Hospice, Inc. | 111 Founder's Plaza, Suite 200, East Hartford, CT 06108 | Home Health Care | 2017-10-01 ~ 2020-09-30 |
| Masonicare Home Health and Hospice Inc. · Masonicare Home Health & Hospice, Inc. | 97 Barnes Rd Ste 4, Wallingford, CT 06492-1885 | Home Health Care | 2018-04-01 ~ 2021-03-31 |
| Blue Ridge Health Services Inc. · Saint Francis Care Behavioral Health | 25 Marlborough Street, Portland, CT 06480 | Hospitals for Mentally Ill Persons | 2001-10-01 ~ 2003-09-30 |
| Masonicare Home Health and Hospice Inc. | Po Box 70, Wallingford, CT 06492 | Public Charity | 2019-09-01 ~ 2020-08-31 |
| Genevieve A Henry | Masonicare Health Center, Wallingford, CT 06492 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Stonington Behavioral Health, Inc. · Stonington Institute | 75 Swantown Hill Road, North Stonington, CT 06359 | Hospitals for Mentally Ill Persons | 2012-10-11 ~ 2014-09-30 |
| Stonington Behavioral Health Inc. · Stonington Institute | 75 Swantown Hill Road, North Stonington, CT 06359 | Hospitals for Mentally Ill Persons | 2008-10-01 ~ 2010-09-30 |
| Masonicare Corporation · Masonicare | 22 Masonic Avenue, Wallingford, CT 06492 | General Intrastate Livery Service | 2019-01-01 ~ 2020-12-31 |
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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).