Active NPI
Living Sanctuary 1 Health Care Services
- Home Health Agency
- West Deptford, NJ
National Provider Identifier
1205680691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- LIVING SANCTUARY 1 HEALTH CARE SERVICES
- Practice address
- 4 Mahley Ave
West Deptford, NJ 08096-3252 - Phone
- (856) 986-8237
- NPI assigned
- Apr 12, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Luke O Oni, MB.BS; MBA
- Title
- Chairman/Ceo
- Phone
- (856) 986-8237
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| Nursing Care Agency | 251J00000X | |||
| In Home Supportive Care Agency | 253Z00000X |
Addresses
Primary practice location
4 Mahley Ave
West Deptford, NJ 08096-3252
Mailing address
4 Mahley Ave
West Deptford, NJ 08096-3252
Phone (856) 986-8237
National Provider Directory
National Provider Directory- Tax ID family
- Living Sanctuary 1 Health Care Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Camden, NJ
- NPI 1730908302
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pastoral Counselor
- West Deptford, NJ
- NPI 1508610791
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712880000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712880000000",
"number": "1205680691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 MAHLEY AVE",
"city": "WEST DEPTFORD",
"state": "NJ",
"postal_code": "080963252",
"telephone_number": "856-986-8237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 MAHLEY AVE",
"city": "WEST DEPTFORD",
"state": "NJ",
"postal_code": "080963252",
"telephone_number": "856-986-8237"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIVING SANCTUARY 1 HEALTH CARE SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-12",
"last_updated": "2024-04-12",
"certification_date": "2024-04-12",
"status": "A",
"authorized_official_last_name": "ONI",
"authorized_official_first_name": "LUKE",
"authorized_official_middle_name": "O",
"authorized_official_title_or_position": "CHAIRMAN/CEO",
"authorized_official_telephone_number": "856-986-8237",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MB.BS; MBA"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Deptford, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.