Provider Demographics
NPI:1518795426
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, 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:856-308-3139
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:856-308-3139
Practice Address - Fax:856-839-4813
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-23
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive Care
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
No376K00000XNursing Service Related ProvidersNurse's AideGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1006011Medicaid
NJHP0365300OtherNEW JERSEY -DIVISION OF CONSUMER AFFAIRS