LIVING SANCTUARY 1 HEALTH CARE SERVICES
NPI 1205680691
Home Health in West Deptford, NJ

Q: What is Living Sanctuary 1 Health Care Services's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Active since April 12, 2024CLIA 31D2313921 · Waiver

4 MAHLEY AVE, WEST DEPTFORD, NJ 08096(856) 986-8237 Get Directions Write a Review

NPPES record last updated: April 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Living Sanctuary 1 Health Care Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIVING SANCTUARY 1 HEALTH CARE SERVICES (NPI 1205680691) is a healthcare organization registered as a home health in West Deptford, New Jersey and active in the NPI registry since April 2024. The organization holds a CLIA Waiver certificate valid through November 7, 2026 and lists Luke O Oni, Chairman/ceo, as its authorized official.

NPPES Registry Identity

NPI1205680691

Entity TypeOrganization

Primary Taxonomy251E00000X

Legal Business NameLIVING SANCTUARY 1 HEALTH CARE SERVICES

Location Address4 MAHLEY AVEWest Deptford, NJ 08096-3252

Mailing Address4 Mahley AveWest Deptford, NJ 08096-3252 · (856) 986-8237

Phone(856) 986-8237

Organization SubpartNo

Authorized OfficialLuke O OniChairman/ceo · (856) 986-8237

Enumeration DateApril 12, 2024

NPPES CertifiedApril 12, 2024

✔ NPI 1205680691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHome HealthAgencies

Taxonomy Code251E00000X

Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Also ListedNursing CareTaxonomy 251J00000X

Also ListedIn Home Supportive CareTaxonomy 253Z00000X

4 MAHLEY AVE, West Deptford, NJ 08096

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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2313921

Living Sanctuary Health Care Services · Camden, NJ

Active · expires Nov 7, 2026

CLIA Number31D2313921

Laboratory TypeHome Health Agency

Certificate Effective DateNovember 8, 2024

Certificate Expiration DateNovember 7, 2026

Laboratory DirectorModupe Memayetan

Laboratory Phone(856) 986-8237

Laboratory LocationLiving Sanctuary Health Care Services1358 Whitman Avenue, Camden, NJ 08104

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LIVING SANCTUARY HEALTH CARE SERVICES

Home Health

4 MAHLEY AVE
WEST DEPTFORD, NJ 08096

Gloucester County (856) 986-8237

DR. LUKE O ONI MB.BS, MBA

Counselor (Pastoral)

4 MAHLEY AVE
WEST DEPTFORD, NJ 08096

Gloucester County (856) 986-8237

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Living Sanctuary 1 Health Care Services's NPI number?

The NPI number for Living Sanctuary 1 Health Care Services is 1205680691. It was assigned to this organization in the NPPES registry on April 12, 2024.

Where is Living Sanctuary 1 Health Care Services located?

Living Sanctuary 1 Health Care Services is located at 4 Mahley Ave, West Deptford, NJ 08096. The listed phone number is (856) 986-8237.

What is Living Sanctuary 1 Health Care Services's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Living Sanctuary 1 Health Care Services hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2313921) is associated with this NPI, valid through November 7, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Living Sanctuary 1 Health Care Services was last updated on April 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.