MEDICARE: HOME LINK INTERNATIONAL INC

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	103K00000X	Behavior Analyst
2	251C00000X	Developmentally Disabled Services Day Training Agency	7HOMELINK143	ID
3	251E00000X	Home Health Agency
4	253Z00000X	In Home Supportive Care Agency
5	251S00000X	Community/Behavioral Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871639674
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME LINK INTERNATIONAL INC

Provider Business Mailing Address
First Line	:	629 E WOOD ST STE 205
Second Line	:
City	:	VINELAND
State	:	NJ
Zip	:	08360-3752
Country	:	US
Telephone Number	:	856-308-3139
Fax Number	:	856-839-4813

Provider Business Practice Location Address
First Line	:	629 E WOOD ST STE 205
Second Line	:
City	:	VINELAND
State	:	NJ
Zip	:	08360-3752
Country	:	US
Telephone Number	:	856-839-0881
Fax Number	:	856-839-4813

Authorized Official
Title or Position	:	CLINICAL DIRECTOR
Name	:	DR. USIFO EDWARD ASIKHIA
Credential	:	MBBS, BCBA-D
Telephone Number	:	856-308-3139

Provider Enumeration Date	:	01/29/2007
Last Update Date	:	07/23/2024

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Directions to “HOME LINK INTERNATIONAL INC ” Practice Location

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