Healthcare Provider Details

I. General information

NPI: 1548198419
Provider Name (Legal Business Name): JAPHETH HEALTHCARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

629 S BROADWAY
AURORA IL
60505-4611
US

IV. Provider business mailing address

629 S BROADWAY
AURORA IL
60505-4611
US

V. Phone/Fax

Practice location:
  • Phone: 773-240-5515
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: OLUWAFEMI TIJANI
Title or Position: CEO
Credential:
Phone: 773-240-5515