Provider Demographics
NPI:1356445845
Name:MEDILINK HOMECARE, INC.
Entity Type:Organization
Organization Name:MEDILINK HOMECARE, INC.
Other - Org Name:KABAFUSION NJ
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SOHAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:MASOOD
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:800-435-3020
Mailing Address - Street 1:17777 CENTER COURT DR N STE 550
Mailing Address - Street 2:
Mailing Address - City:CERRITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90703-9337
Mailing Address - Country:US
Mailing Address - Phone:800-435-3020
Mailing Address - Fax:
Practice Address - Street 1:129 N WHITE HORSE PIKE STE 1
Practice Address - Street 2:
Practice Address - City:HAMMONTON
Practice Address - State:NJ
Practice Address - Zip Code:08037-1893
Practice Address - Country:US
Practice Address - Phone:609-567-2241
Practice Address - Fax:609-567-0503
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-13
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No251E00000XAgenciesHome Health
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJD06574100OtherCDS REGISTRATION NUMBER
NJ6441912Medicaid
NJHP0045400OtherHEALTH CARE SERVICE FIRM
NJ234748OtherMEDICARE - NOVITAS SOLUTIONS (CMS)
NJ28RS00502800OtherPHARMACY LICENSE
NJ28RS00502800OtherPHARMACY LICENSE
NJ28RS00502800OtherPHARMACY LICENSE
NJ28RS00502800OtherPHARMACY LICENSE