Provider Demographics
NPI:1003658402
Name:HOME LINK INTERNATIONAL INC
Entity type:Organization
Organization Name:HOME LINK INTERNATIONAL INC
Other - Org Name:
Other - Org Type:
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:BCBA-D, QBA, MD
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:856-839-0881
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:856-839-0881
Practice Address - Fax:856-839-4813
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOME LINK INTERNATIONAL INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-06-07
Last Update Date:2024-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Multi-Specialty
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental DisabilitiesGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0382469Medicaid