NPIMap

Linac Services Inc

Organization Active NPI Home Health Agency · Capitol Heights, MD

NPI 1124114558 · NPPES record last updated Mar 8, 2024

Key facts

NPI
1124114558
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 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
Organization subpart
No

Authorized official

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

Corporate family (same tax ID) 1

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

Practitioners 70

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 70

Medicare Care Compare: Home health agency

Listed as
Linac Services Inc CCN 097065
Ownership
Proprietary
Certified
Oct 26, 2007
Medicare certification status
Active (Provider of Services file)
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Source: Medicare Care Compare.

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
09D2123258Linac Services Inc
721 48TH Street, Washington, DC 20019		Certificate of waiverDec 14, 2026

Medicare participation

Medicare fee-for-service enrollment
Enrolled in DC

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
Corporation · Proprietary
Incorporated
May 10, 2004 in DC
Enrollment address
721 48TH St NE
Washington, DC 20019-3607

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 Officer
Ceo, Board Member		 Aug 25, 2008
Corporate Director
Ceo, President		 Aug 25, 2008
W-2 Managing Employee
Ceo		 Aug 25, 2008
Operational/Managerial Control
Ceo, President		 Aug 25, 2008
Nneka L. Ewelike
Individual 		5% Or Greater Direct Ownership Interest
Mangerial, Medical Staffing		 Jun 20, 2004 50%
Corporate Officer
Administrator, Board Member		 Jun 20, 2004
Corporate Director
Administrator, VP		 Jun 20, 2004
W-2 Managing Employee
Administrator		 May 2, 2004
Operational/Managerial Control
Administrator, VP, Board Member		 May 2, 2004

Medicare enrollment records

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

National Provider Directory

Tax ID family
Linac Services (2 organizations share this tax ID)

Locations

721 48th St NE
Ste 320
Washington, DC 20019

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

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Yes
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

Other providers in Capitol Heights, MD

All providers in Capitol Heights, MD · Home Health Agency in Maryland

Sources for this page

Verify at the official NPI Registry.