LEBANON PINES LONG TERM CARE (Credential# 930875) is licensed (Substance Abuse) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2019. The license expiration date date is June 30, 2021. The license status is ACTIVE.
LEBANON PINES LONG TERM CARE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #SA.0SA0020. The credential type is substance abuse. The effective date is July 1, 2019. The expiration date is June 30, 2021. The business address is 37a Camp Moween Rd, Lebanon, CT 06249-2704. The current status is active.
| Licensee Name | LEBANON PINES LONG TERM CARE |
| Business Name | LEBANON PINES LONG TERM CARE |
| Doing Business As | LEBANON PINES LONG TERM CARE |
| Credential ID | 930875 |
| Credential Number | SA.0SA0020 |
| Credential Type | Substance Abuse |
| Business Address |
37a Camp Moween Rd Lebanon CT 06249-2704 |
| Business Type | BUSINESS |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2009-07-01 |
| Effective Date | 2019-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-05-12 |
| Street Address | 37A CAMP MOWEEN RD |
| City | LEBANON |
| State | CT |
| Zip Code | 06249-2704 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Scadd Lebanon Pines | 37 Camp Moween Rd, Lebanon, CT 06249-2704 | Psychiatric Outpatient Clinic | 2020-04-01 ~ 2023-03-31 |
| Brett E Halen | 81 Camp Moween Rd, Lebanon, CT 06249-2704 | Heating, Piping & Cooling Limited Journeyperson | 2019-09-01 ~ 2020-08-31 |
| Scadd · Lebanon Pines Long Term Care Facility | 37 Camp Moween Rd, Lebanon, CT 06249-2704 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Richard W Backiel | 87 Camp Moween Rd, Lebanon, CT 06249-2704 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Diana Bazzano | 106 Bascom Road, Lebanon, CT 06249 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Alan Peed | 353 Randall Rd, Lebanon, CT 06249 | Home Improvement Contractor | 2020-06-24 ~ 2020-11-30 |
| David Hooper | 100 Barker Rd, Lebanon, CT 06249 | Sub-surface Sewage Installer | 2020-09-01 ~ 2021-08-31 |
| Matthew L Smith Aprn | 336 Babcock Hill Rd, Lebanon, CT 06249 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Anna M Bender · Warzecha | 58 Barker Rd, Lebanon, CT 06249 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Leslie H Cote | 236 Mack Road, Lebanon, CT 06249 | Notary Public Appointment | 2016-06-01 ~ 2021-05-31 |
| Alyna J Stober | 40 Meadow Ridge Dr., Lebanon, CT 06249 | Emergency Medical Technician | ~ |
| Susan L Lambert | 648 Tobacco St, Lebanon, CT 06249 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| John J Buda | 46 Ryan Terrace, Lebanon, CT 06249 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Amy Margaret Yankanich | 67 Reservoir Rd, Lebanon, CT 06249 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06249 | |||
| City | LEBANON |
| Zip Code | 06249 |
| License Type | Substance Abuse |
| License Type + County | Substance Abuse + LEBANON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Scadd · Lebanon Pines Long Term Care Facility | 37 Camp Moween Rd, Lebanon, CT 06249-2704 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Walgreens Long-term Care Pharmacy LLC · Walgreens Long Term Care Pharmacy #11875 | 480 Wrangler Drive, Coppell, TX 75019 | Nonresident Pharmacy | 2010-09-01 ~ 2011-08-31 |
| Pharmahealth Specialty/ Long Term Care Inc | 132 Alden Rd, Fairhaven, MA 02719-4721 | Nonresident Pharmacy | 2015-09-01 ~ 2016-08-31 |
| Alitons Long Term Care Pharmacy · Dennis Greenwald | 67-73 County Hwy 108, Middletown, NY 10940 | Nonresident Pharmacy | 2003-09-09 ~ 2004-08-31 |
| Institute for Long-term Care Policy Incorporated | 1340 Worthington Ridge, Berlin, CT 06037 | Public Charity-exempt From Financial Requirements | ~ |
| Walgreens Long-term Care Pharmacy #12620 | 4015 Crescent Park Dr, Riverview, FL 33578-3605 | Nonresident Pharmacy | 2010-09-01 ~ 2011-08-31 |
| Apex Long Term Care Pharmacy Inc | 1890 Dixwell Ave, Hamden, CT 06514 | Pharmacy | 1997-10-17 ~ 1998-08-31 |
| Long-term Wine Company LLC · Long-term Wine Company | 1075 Golden Gate Dr, Napa, CA 94558-6187 | Out of State Winery | 2015-05-10 ~ 2016-05-09 |
| Walgreens Long-term Care Pharmacy #11873 | 480 South Chambers Rd, Aurora, CO 80017 | Nonresident Pharmacy | 2010-09-01 ~ 2011-08-31 |
| Scadd Lebanon Pines | 37 Camp Moween Rd, Lebanon, CT 06249-2704 | Psychiatric Outpatient Clinic | 2020-04-01 ~ 2023-03-31 |
Please comment or provide details below to improve the information on LEBANON PINES LONG TERM CARE.
| 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).