NPIMap

Organization Active NPI

Home Link International Inc

  • Community Health Worker
  • Vineland, NJ
National Provider Identifier
1003658402
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Legal business name
HOME LINK INTERNATIONAL INC
Practice address
629 E Wood St Ste 205
Vineland, NJ 08360-3752
Phone
(856) 839-0881
Fax
(856) 839-4813
NPI assigned
Jun 7, 2024
Organization subpart
Yes
Parent organization
HOME LINK INTERNATIONAL INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Usifo Edward Asikhia, BCBA-D, QBA, MD
Title
Clinical Director
Phone
(856) 308-3139

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X
Intellectual & Developmental Disabilities PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TM1800X
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X
Community Health WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 172V00000X Primary

Addresses

Primary practice location

629 E Wood St Ste 205
Vineland, NJ 08360-3752

Mailing address

629 E Wood St Ste 205
Vineland, NJ 08360-3752
Phone (856) 839-0881

Other identifiers 1

IdentifierTypeStateIssuer
0382469MedicaidNJ

Other names 1

  • Home link International Inc Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Home Link International Inc5 organizations share this tax ID, including this one
Part of
Home Link International Inc

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1717718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717718400000",
    "number": "1003658402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 E WOOD ST STE 205",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083603752",
            "telephone_number": "856-839-0881",
            "fax_number": "856-839-4813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 E WOOD ST STE 205",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083603752",
            "telephone_number": "856-839-0881",
            "fax_number": "856-839-4813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME LINK INTERNATIONAL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOME LINK INTERNATIONAL INC",
        "enumeration_date": "2024-06-07",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A",
        "authorized_official_last_name": "ASIKHIA",
        "authorized_official_first_name": "USIFO",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "856-308-3139",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BCBA-D, QBA, MD"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0382469",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home link International Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vineland, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.