SHORELINE FAMILY HEALTH CARE (Credential# 2001330) is licensed (Outpatient Clinic) with Connecticut Department of Consumer Protection. The license effective date is January 22, 2020. The license expiration date date is December 31, 2022. The license status is ACTIVE.
SHORELINE FAMILY HEALTH CARE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #OPC.0001073. The credential type is outpatient clinic. The effective date is January 22, 2020. The expiration date is December 31, 2022. The business address is 221 W Main St, Branford, CT 06405-4022. The current status is active.
| Licensee Name | SHORELINE FAMILY HEALTH CARE |
| Business Name | SHORELINE FAMILY HEALTH CARE |
| Doing Business As | SHOREINE FAMILY HEALTH CARE |
| Credential ID | 2001330 |
| Credential Number | OPC.0001073 |
| Credential Type | Outpatient Clinic |
| Business Address |
221 W Main St Branford CT 06405-4022 |
| Business Type | CORPORATION |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-01-17 |
| Effective Date | 2020-01-22 |
| Expiration Date | 2022-12-31 |
| Refresh Date | 2020-01-22 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2003000 | POCA.0000728 | Psychiatric Outpatient Clinic | 2020-01-29 | 2020-01-29 - 2022-12-31 | ACTIVE |
| 2003001 | SA.0000606 | Substance Abuse | 2020-01-29 | 2020-01-29 - 2021-12-31 | ACTIVE |
| Street Address | 221 W MAIN ST |
| City | BRANFORD |
| State | CT |
| Zip Code | 06405-4022 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shoreline Family Health Care | 221 W Main St, Branford, CT 06405-4022 | Psychiatric Outpatient Clinic | 2020-01-29 ~ 2022-12-31 |
| Community Health Rx #2 Inc · Shoreline Family Rx | 221 W Main St, Branford, CT 06405-4022 | Pharmacy | 2020-01-16 ~ 2020-08-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Raymond M Johnson | 39 Bayberry Lane, Branford, CT 06405 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kirsten M Ranciato | 288 East Main Street, Branford, CT 06405 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Bimala Khadka Thapa | 726 Robert Frost Dr., Branford, CT 06405 | Nail Technician | ~ |
| Paul E Basile | 42 Valley Brook Road South, Branford, CT 06405 | Perfusionist | 2020-08-01 ~ 2021-07-31 |
| Lupe Monica Placencia-muy | 100 East Main Street 2nd Fl, Branford, CT 06405 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-02-28 |
| Bridget J Jennings | 159 Queach Road, Branford, CT 06405 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Ujeli Acharya | 21 Burban Drive, Branford, CT 06405 | Nail Technician | ~ |
| Cathleen Smith | 50 First Avenue, Branford, CT 06405 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Gita Thapa | 94 Village Lane, Branford, CT 06405 | Nail Technician | ~ |
| Cycle Venture Partners Fund I Lp - Lumeda Series 1 | 50 Limewood Avenue, Branford, CT 06405 | Securities - Exemptions | 2020-06-17 ~ |
| Find all Licenses in zip 06405 | |||
| City | BRANFORD |
| Zip Code | 06405 |
| License Type | Outpatient Clinic |
| License Type + County | Outpatient Clinic + BRANFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shoreline Wellness Behavioral Health Clinic, LLC | 415 Main St, West Haven, CT 06516-4296 | Psychiatric Outpatient Clinic | 2016-09-27 ~ 2020-06-30 |
| Shoreline Life Care LLC · Evergreen Woods Health Center | 88 Notch Hill Rd, North Branford, CT 06471-1846 | Chronic & Convalescent Nursing Home | 2015-01-01 ~ 2016-12-31 |
| Cornell Scott-hill Health Center At Bhcare Shoreline | 14 Sycamore Way, Branford, CT 06405-6551 | Outpatient Clinic | 2014-04-01 ~ 2018-03-31 |
| Family Centers Health Care At Wilbur Peck Court | 111 Wilbur Peck Ct, Greenwich, CT 06830-6322 | Psychiatric Outpatient Clinic | 2017-02-02 ~ 2020-12-31 |
| Staywell Health Care Inc. · Staywell Health Care, Inc.-south End Health Center | 1302 South Main Street, Waterbury, CT 06706 | Psychiatric Outpatient Clinic | 2009-07-01 ~ 2013-06-30 |
| Family Centers Health Care At Wilbur Peck Court | 111 Wilbur Peck Court, Lower Level, Greenwich, CT 06830 | Outpatient Clinic | 2016-05-24 ~ 2020-03-31 |
| Optimus Health Care, Inc. | 1351 Washington Blvd, Stamford, CT 06902-2419 | Psychiatric Outpatient Clinic | 2019-07-01 ~ 2023-06-30 |
| Optimus Health Care Inc. · Columbus School Based Health Center | 160 Iranistan Avenue, Bridgeport, CT 06604 | Outpatient Clinic | 2009-03-12 ~ 2012-12-31 |
| Staywell Health Care, Inc. | 1309 S Main St, Waterbury, CT 06706-1758 | Psychiatric Outpatient Clinic | 2019-10-01 ~ 2023-09-30 |
| Staywell Health Care Inc. · Staywell Health Care, Inc. | 232 North Elm Street, Waterbury, CT 06706 | Psychiatric Outpatient Clinic | 2002-02-15 ~ 2003-12-31 |
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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).