Provider Demographics
NPI:1083436976
Name:CT HOME CARE LLC
Entity type:Organization
Organization Name:CT HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MILLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:RASTOGI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-514-0181
Mailing Address - Street 1:45 WINTONBURY AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06002-2478
Mailing Address - Country:US
Mailing Address - Phone:860-286-2930
Mailing Address - Fax:
Practice Address - Street 1:45 WINTONBURY AVE STE 102
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD
Practice Address - State:CT
Practice Address - Zip Code:06002-2478
Practice Address - Country:US
Practice Address - Phone:860-286-2930
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-30
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty