Sylevanus Nkengafac

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

912 Delran PL
Upper Marlboro, MD 20774-5717

Phone

(240) 486-6804

NPI assigned

Apr 1, 2021

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1104404995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 DELRAN PL",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207745717",
            "telephone_number": "240-486-6804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 DELRAN PL",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207745717",
            "telephone_number": "240-486-6804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NKENGAFAC",
        "first_name": "SYLEVANUS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-01",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA15647",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "DC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colline Nkemakoh
• Kadie Nkemanteh
• Caroline Nkemnkeng
• Eric Awungnjia Nkeng
• Unknown Nkengafac Fualefac Fonge
• Nadia Suika Nkengayi
• Helen Aluh Nkiroh
• Brenda A Nkongchu I
• Rahimatou N/a Nkwanui
• Blessing Ebob Nkwelle

• Case Manager/Care Coordinator in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Case Manager/Care Coordinator in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.