NPIMap

Organization Active NPI

Mahanaim Sanctuary a NJ Nonprofit Corporation

  • Supports Brokerage Agency
  • Hampton, NJ
National Provider Identifier
1306645908
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Supports Brokerage AgencyTaxonomy code 251X00000X
Legal business name
MAHANAIM SANCTUARY A NJ NONPROFIT CORPORATION
Practice address
135 Perryville Rd
Hampton, NJ 08827-4222
Phone
(908) 460-3038
Fax
(908) 460-1652
NPI assigned
Mar 7, 2025
Last updated
Mar 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Authorized official

Name
Dominique Marcelle Saint-PreuxNPI 1801697768
Title
Secretary / Project Manager
Phone
(908) 230-3618

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NU
Developmental Disabilities Clinic/Center 261QD1600X NU
Supports Brokerage Agency 251X00000X NU Primary

Addresses

Primary practice location

135 Perryville Rd
Hampton, NJ 08827-4222

Mailing address

135 Perryville Rd
Hampton, NJ 08827-4222
Phone (908) 460-3038

National Provider Directory

National Provider Directory
Tax ID family
Mahanaim Sanctuary a NJ Nonprofit Corporation8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1741305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741305600000",
    "number": "1306645908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 PERRYVILLE RD",
            "city": "HAMPTON",
            "state": "NJ",
            "postal_code": "088274222",
            "telephone_number": "908-460-3038",
            "fax_number": "908-460-1652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 PERRYVILLE RD",
            "city": "HAMPTON",
            "state": "NJ",
            "postal_code": "088274222",
            "telephone_number": "908-460-3038",
            "fax_number": "908-460-1652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHANAIM SANCTUARY A NJ NONPROFIT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-07",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A",
        "authorized_official_last_name": "SAINT-PREUX",
        "authorized_official_first_name": "DOMINIQUE",
        "authorized_official_middle_name": "MARCELLE",
        "authorized_official_title_or_position": "SECRETARY / PROJECT MANAGER",
        "authorized_official_telephone_number": "908-230-3618"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; 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.