Healthcare Provider Details

I. General information

NPI: 1528992062
Provider Name (Legal Business Name): KRAJEWSKI HOME CARE AGENCY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9451 ROUTE 29 APT 503
FAIRFAX VA
22031-1812
US

IV. Provider business mailing address

9451 ROUTE 29 APT 503
FAIRFAX VA
22031-1812
US

V. Phone/Fax

Practice location:
  • Phone: 571-386-4574
  • Fax:
Mailing address:
  • Phone: 571-386-4574
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: JANE KRAJEWSKI
Title or Position: OWNER
Credential:
Phone: 571-423-7961