Provider Demographics
NPI:1871639674
Name:HOME LINK INTERNATIONAL INC
Entity Type:Organization
Organization Name:HOME LINK INTERNATIONAL INC
Other - Org Name:HOME LINK TRUST
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:USIFO
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:ASIKHIA
Authorized Official - Suffix:
Authorized Official - Credentials:MBBS, BCBA-D
Authorized Official - Phone:856-308-3139
Mailing Address - Street 1:629 E WOOD ST STE 205
Mailing Address - Street 2:
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08360-3752
Mailing Address - Country:US
Mailing Address - Phone:856-308-3139
Mailing Address - Fax:856-839-4813
Practice Address - Street 1:629 E WOOD ST STE 205
Practice Address - Street 2:
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360-3752
Practice Address - Country:US
Practice Address - Phone:610-570-4230
Practice Address - Fax:856-839-4813
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103K00000X, 251E00000X, 251S00000X, 253Z00000X
ID7HOMELINK143251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0382469Medicaid
ID807478100Medicaid
ID807500300Medicaid