Provider Demographics
NPI:1790667582
Name:JF ITHAND LIFE CARE SUPPORT SERVICES LLC
Entity type:Organization
Organization Name:JF ITHAND LIFE CARE SUPPORT SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BOATENG
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:AGYEKUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:380-799-2848
Mailing Address - Street 1:3900 WHITE POND DR APT 101
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43219-3996
Mailing Address - Country:US
Mailing Address - Phone:380-799-2848
Mailing Address - Fax:
Practice Address - Street 1:3900 WHITE POND DR APT 101
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43219-3996
Practice Address - Country:US
Practice Address - Phone:380-799-2848
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-23
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child
No385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child