Leadway Healthcare Services Inc

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

LEADWAY HEALTHCARE SERVICES INC

Practice address

719 Luke Rd
Middle River, MD 21220-3797

Phone

(973) 861-0482

NPI assigned

Jan 22, 2024

Organization subpart

No

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

Authorized official

Name

Charles Iwejuo

Title

Chief Executive Officer

Phone

(973) 861-0482

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743292800000",
    "number": "1679334155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 LUKE RD",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212203797",
            "telephone_number": "973-861-0482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 LUKE RD",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212203797",
            "telephone_number": "973-861-0482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEADWAY HEALTHCARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-22",
        "last_updated": "2025-03-30",
        "certification_date": "2025-03-30",
        "status": "A",
        "authorized_official_last_name": "IWEJUO",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "973-861-0482"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johhn J Krack, D.D.S.
• Lauren Lake
• Samantha Lanasa, RN
• Jamie Laning, LMSW
• Joseph Laponzina, D.D.S.,P.A.
• Life Connection Behavioral Health Services, LLC
• Lifebridge Sports Medicine & Rehabilitation LLC
• Lifebridge Sports Medicine and Rehabilitation LLC
• Brett Adam Linowes, MD
• Amy Marie Linthicum

• All providers in Middle River, MD
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.