MEDICARE: CARELINK HEALTH CARE SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency		NJ

General Provider Information

NPI Number	:	1477880060
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARELINK HEALTH CARE SERVICES, LLC

Provider Business Mailing Address
First Line	:	PO BOX 2332
Second Line	:
City	:	VINELAND
State	:	NJ
Zip	:	08362-2332
Country	:	US
Telephone Number	:	856-691-7035
Fax Number	:	856-691-7105

Provider Business Practice Location Address
First Line	:	629 E WOOD ST STE 201
Second Line	:
City	:	VINELAND
State	:	NJ
Zip	:	08360-3752
Country	:	US
Telephone Number	:	856-691-7035
Fax Number	:	856-691-7105

Authorized Official
Title or Position	:	DON
Name	:	OLUBOLA SODE
Credential	:	NURSE
Telephone Number	:	856-691-7035

Provider Enumeration Date	:	11/03/2009
Last Update Date	:	10/25/2019

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