Individual provider Active NPI

Fefe Njeck

  • Personal Care Attendant
  • Fairfax, VA
National Provider Identifier
1942015417
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
License
12777-03-011 Issued in VA
Practice address
4021 Williamsburg CT
Fairfax, VA 22032-1139
Phone
(571) 277-2929
Fax
(703) 995-0364
NPI assigned
Feb 11, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X 12777-03-011 VA Primary

Addresses

Primary practice location

4021 Williamsburg CT
Fairfax, VA 22032-1139

Mailing address

4021 Williamsburg CT
Fairfax, VA 22032-1139
Phone (571) 277-2929

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Flexibility Home Care LLC CurrentSince Feb 23, 2025 Accepting new patients
Destiny Homecare LLC PastSince Feb 23, 2025 Accepting new patients

Locations

4021 Williamsburg Ct
Fairfax, VA 22032
Phone (571) 277-2929

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1739232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1942015417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4021 WILLIAMSBURG CT",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220321139",
            "telephone_number": "571-277-2929",
            "fax_number": "703-995-0364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4021 WILLIAMSBURG CT",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220321139",
            "telephone_number": "571-277-2929",
            "fax_number": "703-995-0364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NJECK",
        "first_name": "FEFE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-11",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "VA",
            "license": "12777-03-011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.