Provider Demographics
NPI:1124114558
Name:LINAC SERVICES INC
Entity type:Organization
Organization Name:LINAC SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSING DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:NNEKA
Authorized Official - Middle Name:LILIAN
Authorized Official - Last Name:EWELIKE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:301-642-2680
Mailing Address - Street 1:6856 EASTERN AVE NW
Mailing Address - Street 2:SUITE 320A
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20012-2165
Mailing Address - Country:US
Mailing Address - Phone:202-541-9844
Mailing Address - Fax:202-541-9845
Practice Address - Street 1:4650 ADDISON RD
Practice Address - Street 2:
Practice Address - City:CAPITOL HEIGHTS
Practice Address - State:MD
Practice Address - Zip Code:20743-1003
Practice Address - Country:US
Practice Address - Phone:301-341-9393
Practice Address - Fax:240-582-6923
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC097065Medicare PIN