MASONIC HEALTHCARE CENTER (Credential# 156926) is licensed (Controlled Substance Registration for Hospitals) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
MASONIC HEALTHCARE CENTER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0013904-HOSP. The credential type is controlled substance registration for hospitals. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 22 Masonic Ave, Wallingford, CT 06492. The current status is active.
| Licensee Name | MASONIC HEALTHCARE CENTER |
| Business Name | MASONIC HEALTHCARE CENTER |
| Credential ID | 156926 |
| Credential Number | CSP.0013904-HOSP |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR HOSPITALS |
| Credential SubCategory | HOSP |
| Business Address |
22 Masonic Ave Wallingford CT 06492 |
| Business Type | BUSINESS |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-03-01 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-03-04 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Masonic Healthcare Center · Masonic Geriatric Healthcare Center "mghc" | 22 Masonic Avenue, Wallingford, CT 06492 | Assisted Living Service Agency | 2000-10-01 ~ 2002-09-30 |
| Street Address | 22 MASONIC AVE |
| City | WALLINGFORD |
| State | CT |
| Zip Code | 06492 |
| 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 |
| 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 | CONTROLLED SUBSTANCE REGISTRATION FOR HOSPITALS |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR HOSPITALS + WALLINGFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Masonic Healthcare Center Inc. | P.o. Box 70, Wallingford, CT 06492 | Public Charity-exempt From Financial Requirements | ~ |
| Masonic Child Development Center | 22 Masonic Ave, Wallingford, CT 06492-3048 | Child Care Center | 2017-07-01 ~ 2021-06-30 |
| 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 |
| Southbury Training School/healthcare Center · Medical Director Padmavati Patel. | 1461 S Britain Rd, Southbury, CT 06488-1177 | Controlled Substance Registration for Practitioner | 2015-04-17 ~ 2021-02-28 |
| Grandview Rehabilitation and Healthcare Center | 55 Grand St, New Britain, CT 06052-2021 | Chronic & Convalescent Nursing Home | 2020-01-01 ~ 2021-12-31 |
| Masonicare Health Center | 22 Masonic Ave Bldg Sturges, Wallingford, CT 06492-3048 | Hospitals for Mentally Ill Persons | 2018-04-01 ~ 2020-03-31 |
| Paradigm Healthcare Center of Norwalk LLC · Paradigm Healthcare Center of Norwalk, LLC | 23 Prospect Avenue, Norwalk, CT 06850 | Chronic & Convalescent Nursing Home | 2011-07-01 ~ 2013-06-30 |
| 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 |
| Bridges Healthcare, Inc. | 270 Center St, West Haven, CT 06516-4400 | Substance Abuse | 2018-10-01 ~ 2020-09-30 |
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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).