Healthcare Provider Details

I. General information

NPI: 1124114558
Provider Name (Legal Business Name): LINAC SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2006
Last Update Date: 03/08/2024
Certification Date: 03/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4650 ADDISON RD
CAPITOL HEIGHTS MD
20743-1003
US

IV. Provider business mailing address

6856 EASTERN AVE NW SUITE 320A
WASHINGTON DC
20012-2165
US

V. Phone/Fax

Practice location:
  • Phone: 301-341-9393
  • Fax: 240-582-6923
Mailing address:
  • Phone: 202-541-9844
  • Fax: 202-541-9845

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. NNEKA LILIAN EWELIKE
Title or Position: NURSING DIRECTOR
Credential: RN
Phone: 301-642-2680