NPIMap

Organization Active NPI

Mahanaim Sanctuary a NJ Nonprofit Corporation

  • Assisted Living Facility
  • Stewartsville, NJ
National Provider Identifier
1417756016
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
MAHANAIM SANCTUARY A NJ NONPROFIT CORPORATION
Practice address
37 Third St
Stewartsville, NJ 08886-3133
Phone
(908) 460-3038
Fax
(908) 460-1652
NPI assigned
Mar 7, 2025
Last updated
Sep 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 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
Assisted Living Facility 310400000X NU Primary
Respite Care 385H00000X NU
Lodging Provider 177F00000X NU

Addresses

Primary practice location

37 Third St
Stewartsville, NJ 08886-3133

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": "1757030400000",
    "number": "1417756016",
    "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": "37 THIRD ST",
            "city": "STEWARTSVILLE",
            "state": "NJ",
            "postal_code": "088863133",
            "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": "2025-09-05",
        "certification_date": "2025-09-05",
        "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": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stewartsville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.