NPIMap

Organization Active NPI

Linac Services Inc

  • Home Health Agency
  • Capitol Heights, MD
National Provider Identifier
1124114558
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LINAC SERVICES INC
Practice address
4650 Addison Rd
Capitol Heights, MD 20743-1003
Phone
(301) 341-9393
Fax
(240) 582-6923
NPI assigned
Oct 5, 2006
Last updated
Mar 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Authorized official

Name
Mrs. Nneka Lilian Ewelike, RNNPI 1699350041
Title
Nursing Director
Phone
(301) 642-2680

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X

Addresses

Primary practice location

4650 Addison Rd
Capitol Heights, MD 20743-1003

Mailing address

6856 Eastern Ave NW
Suite 320a
Washington, DC 20012-2165
Phone (202) 541-9844

Other practice location 1

721 48th St NE
Washington, DC 20019-3607
Phone (202) 541-9844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061026000180 DC Part A Provider - Home Health Agency 0840297388 Practice locations: Washington, DC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1124114558. Details of each certification follow.

Home health agency certification: CCN 097065

Legal name
LINAC SERVICES INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 26, 2007
Last certification
Oct 24, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
May 10, 2004 in DC
Enrollment address
721 48TH St NE
Washington, DC 20019-3607

Care Compare: Home health agency

Medicare Care Compare
Listed as
Linac Services IncCCN 097065 · All quality measures
Ownership
Proprietary
Certified
Oct 26, 2007
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
09D2123258Linac Services Inc721 48TH Street, Washington, DC 20019Certificate of waiverDec 14, 2026

National Provider Directory

National Provider Directory
Tax ID family
Linac Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6856 Eastern Ave NW
Ste 320A
Washington, DC 20012
Phone (202) 541-9844

721 48th St NE
Washington, DC 20019
Phone (202) 541-9844

721 48th St NE
Ste 320
Washington, DC 20019

4650 Addison Rd
Capitol Heights, MD 20743
Phone (202) 541-9844

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Chukwuma Ewelike Individual 5% Or Greater Direct Ownership Interest Jun 6, 2012 50%
Corporate OfficerCeo, Board Member Aug 25, 2008
Corporate DirectorCeo, President Aug 25, 2008
W-2 Managing EmployeeCeo Aug 25, 2008
Operational/Managerial ControlCeo, President Aug 25, 2008
Nneka L. Ewelike Individual 5% Or Greater Direct Ownership InterestMangerial, Medical Staffing Jun 20, 2004 50%
Corporate OfficerAdministrator, Board Member Jun 20, 2004
Corporate DirectorAdministrator, VP Jun 20, 2004
W-2 Managing EmployeeAdministrator May 2, 2004
Operational/Managerial ControlAdministrator, VP, Board Member May 2, 2004

Practitioners & affiliated clinicians

Practitioners 71

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 71

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709856000000",
    "number": "1124114558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6856 EASTERN AVE NW",
            "address_2": "SUITE 320A",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200122165",
            "telephone_number": "202-541-9844",
            "fax_number": "202-541-9845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 ADDISON RD",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "207431003",
            "telephone_number": "301-341-9393",
            "fax_number": "240-582-6923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "721 48th St NE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200193607",
            "country_code": "US",
            "telephone_number": "202-541-9844",
            "fax_number": "202-541-9845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LINAC SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A",
        "authorized_official_last_name": "EWELIKE",
        "authorized_official_first_name": "NNEKA",
        "authorized_official_middle_name": "LILIAN",
        "authorized_official_title_or_position": "NURSING DIRECTOR",
        "authorized_official_telephone_number": "301-642-2680",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Capitol Heights, MD

Sources for this page

Verify at the official NPI Registry.