Job Haines Home for Aged People

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

030706 Issued in NJ

Legal business name

JOB HAINES HOME FOR AGED PEOPLE

Practice address

250 Bloomfield Ave
Bloomfield, NJ 07003-5689

Phone

(973) 743-0792

NPI assigned

Feb 14, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Noreen Elizabeth Haveron, LNHA MPA

Title

President Executive Director

Phone

(973) 743-0792

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114991437. Details of each certification follow.

• CCN 315392 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 315392

Legal name

JOB HAINES HOME FOR AGED PEOPLE

Doing business as

JOB HAINES HOME

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Dec 1, 1997

Last certification

Apr 4, 2025

Beds

40

Ownership / control type

Nonprofit Corporation

Organization structure

OtherNon-profit

Incorporated

Jan 18, 1997 in NJ

Enrollment address

250 Bloomfield Ave
Bloomfield, NJ 07003-5689

Nursing home name

JOB HAINES HOME FOR AGED PEOPLE

Listed as

Job Haines Home For Aged PeopleCCN 315392 · All quality measures

Overall star rating

5 of 5

Health inspections

5 of 5

Staffing

5 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Dec 1, 1997

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

4039.0 residents per day on average

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 7

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Naveen Reddy Allam, M.D.

  • Internal Medicine Physician
  • Montclair, NJ
  • NPI 1790051191

  Nursing home

  Care Compare affiliation
• David S. Haacker, MD

  • Internal Medicine Physician
  • West Orange, NJ
  • NPI 1902879000

  Nursing home

  Care Compare affiliation
• Edward Michael Killilea, M.D.

  • Cardiovascular Disease Physician
  • Kearny, NJ
  • NPI 1982654406

  Nursing home

  Care Compare affiliation
• Shalini R Mali, M.D.

  • Internal Medicine Physician
  • Montclair, NJ
  • NPI 1750473286

  Nursing home

  Care Compare affiliation
• Mehul N Shah, MD

  • Gastroenterology Physician
  • Millburn, NJ
  • NPI 1427119247

  Nursing home

  Care Compare affiliation
• Ellen E Urrutia, MD

  • Cardiovascular Disease Physician
  • Glen Ridge, NJ
  • NPI 1629046388

  Nursing home

  Care Compare affiliation
• Edward J Vecchione, DO

  • Internal Medicine Physician
  • Nutley, NJ
  • NPI 1760440929

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114991437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 BLOOMFIELD AVENUE",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "07003",
            "telephone_number": "973-743-0792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 BLOOMFIELD AVE",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070035689",
            "telephone_number": "973-743-0792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOB HAINES HOME FOR AGED PEOPLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAVERON",
        "authorized_official_first_name": "NOREEN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "973-743-0792",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LNHA MPA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "030706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4477201",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frederic Jimenez, ATC, CSCS, USAW
• Kristine Jimenez, COTA
• JLF Counseling, LLC
• JMP, LLC (Creating Meaningful Connections)
• Shirley Joanis, MED
• John V. Kelly MD, PC
• Sharonda S Johnson, LPC
• Jones Inspirations Counseling
• Suja K Jose, PT
• Deborah Josefson, MD

• Skilled Nursing Facility in Bloomfield, NJ
• Providers in Bloomfield, NJ by specialty
• Skilled Nursing Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.