FAIRGATE COMMUNITY HEALTH CENTER (Credential# 996239) is licensed (Outpatient Clinic) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2019. The license expiration date date is March 31, 2022. The license status is ACTIVE.
FAIRGATE COMMUNITY HEALTH CENTER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #OPC.0000619. The credential type is outpatient clinic. The effective date is April 1, 2019. The expiration date is March 31, 2022. The business address is 138 Stillwater Ave, Stamford, CT 06902-4843. The current status is active.
| Licensee Name | FAIRGATE COMMUNITY HEALTH CENTER |
| Business Name | FAIRGATE COMMUNITY HEALTH CENTER |
| Doing Business As | FAIRGATE COMMUNITY HEALTH CENTER |
| Credential ID | 996239 |
| Credential Number | OPC.0000619 |
| Credential Type | Outpatient Clinic |
| Business Address |
138 Stillwater Ave Stamford CT 06902-4843 |
| Business Type | CORPORATION |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2011-05-04 |
| Effective Date | 2019-04-01 |
| Expiration Date | 2022-03-31 |
| Refresh Date | 2019-03-20 |
| Street Address | 138 STILLWATER AVE |
| City | STAMFORD |
| State | CT |
| Zip Code | 06902-4843 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeris Maydeli Flores | 153 Fairfield Av, Stamford, CT 06902 | Nail Technician | ~ |
| Reynaldo De La Cruz | 64 Brookside Drive, Stamford, CT 06902 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Darren J Petillo | 5 Hundley Court, Stamford, CT 06902 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Antonios Restaurant | 405 West Main St, Stamford, CT 06902 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Edward Smith | 184 Fairfield Ave., Stamford, CT 06902 | Home Improvement Contractor | ~ |
| Margaret A Dorrance | 24c Hamilton Court, Stamford, CT 06902 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Carolyn Maguire | 48 Nelson St, Stamford, CT 06902 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Evelyne Joassin | 17 George St., Stamford, CT 06902 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Andrea Bynoe | 34 Melrose Pl, Stamford, CT 06902 | Notary Public Appointment | 1994-04-06 ~ 1999-04-30 |
| Ravi K Ahuja | 296 Westover Rd, Stamford, CT 06902 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06902 | |||
| City | STAMFORD |
| Zip Code | 06902 |
| License Type | Outpatient Clinic |
| License Type + County | Outpatient Clinic + STAMFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Community Health Center Inc. · Community Health Center, Inc. | 631 Main Street, Middletown, CT 06457 | Psychiatric Outpatient Clinic | 2010-01-01 ~ 2013-12-31 |
| Southwest Community Health Center Inc. · Southwest Community Health Center, Inc./outpatient Treatment Program | 1046 Fairfield Ave, Bridgeport, CT 06605-1116 | Psychiatric Outpatient Clinic | 2020-01-01 ~ 2023-12-31 |
| Community Health Center Inc. · Community Health Center, Inc. | 635 Main Street, Middletown, CT 06457 | Outpatient Clinic | 2002-01-01 ~ 2003-12-31 |
| Community Health Center Inc. · Community Health Care Center of Groton | 333 Long Hill Road, Groton, CT 06340 | Outpatient Clinic | 2009-07-01 ~ 2013-06-30 |
| Twh Community Health Center, Inc. | North Stonington, CT 06359 | Outpatient Clinic | 2011-02-22 ~ 2014-12-31 |
| Community Health Center Inc. · Woodrow Wilson Middle School School Based Health Center | Wilderman's Way, Middletown, CT 06457 | Outpatient Clinic | 2005-01-01 ~ 2008-12-31 |
| Community Health Center Inc. · Community Health Center of Bristol | 59 North Main Street, Bristol, CT 06010 | Outpatient Clinic | 2009-12-15 ~ 2013-09-30 |
| Southwest Community Health Center Inc. · Southwest Community Health Center, Inc. | 968 Fairfield Ave, Bridgeport, CT 06605-1116 | Psychiatric Outpatient Clinic | 2019-10-01 ~ 2023-09-30 |
| Southwest Community Health Center, Inc. | 46 Albion St, Bridgeport, CT 06605-2602 | Psychiatric Outpatient Clinic | 2017-10-01 ~ 2021-09-30 |
| Community Health Center Inc. · Community Health Center of Middletown | 625 Main Street, Middletown, CT 06457 | Outpatient Clinic | 2010-01-01 ~ 2013-12-31 |
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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).