Provider Demographics
NPI:1780449033
Name:CT HEALTH ADVOCATE LLC
Entity type:Organization
Organization Name:CT HEALTH ADVOCATE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RIA
Authorized Official - Middle Name:
Authorized Official - Last Name:IRONS
Authorized Official - Suffix:
Authorized Official - Credentials:LPN, CHW
Authorized Official - Phone:203-517-7940
Mailing Address - Street 1:2837 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:GLASTONBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06033-1030
Mailing Address - Country:US
Mailing Address - Phone:203-441-3180
Mailing Address - Fax:888-880-7706
Practice Address - Street 1:2837 MAIN ST
Practice Address - Street 2:
Practice Address - City:GLASTONBURY
Practice Address - State:CT
Practice Address - Zip Code:06033-1030
Practice Address - Country:US
Practice Address - Phone:203-441-3180
Practice Address - Fax:888-880-7706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-15
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric MedicineGroup - Multi-Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Multi-Specialty