Healthcare Provider Details

I. General information

NPI: 1134918527
Provider Name (Legal Business Name): CT HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2025
Last Update Date: 05/02/2025
Certification Date: 05/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 WINTONBURY AVE STE 102
BLOOMFIELD CT
06002-2478
US

IV. Provider business mailing address

24650 57TH DR
DOUGLASTON NY
11362-1940
US

V. Phone/Fax

Practice location:
  • Phone: 203-403-0405
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: SHREYA SANGHVI
Title or Position: PRESIDENT
Credential:
Phone: 718-514-0181