NPIMap

Organization Active NPI

Health Affiliates, Inc.

Doing business as The Manor

  • Skilled Nursing Facility
  • Freehold, NJ
National Provider Identifier
1336120948
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
061307 Issued in NJ
Legal business name
HEALTH AFFILIATES, INC.
Doing business as
The Manor
Practice address
689 W Main St
Freehold, NJ 07728-2511
Phone
(732) 431-5200
Fax
(732) 409-2446
NPI assigned
Nov 10, 2005
Last updated
Nov 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Authorized official

Name
Janice McAvenia
Title
Executive Director, Rev Cycle Opera
Phone
(732) 294-7012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 061307 NJ Primary

Addresses

Primary practice location

689 W Main St
Freehold, NJ 07728-2511

Mailing address

689 W Main St
Freehold, NJ 07728-2511
Phone (732) 431-5200

Other identifiers 1

IdentifierTypeStateIssuer
4489802MedicaidNJ

Other names 1

  • The Manor Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100107000679 NJ Part A Provider - Skilled Nursing Facility 1658412085 Practice locations: Freehold, NJ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1336120948. Details of each certification follow.

Skilled nursing facility certification: CCN 315153

Legal name
HEALTH AFFILIATES, INC.
Doing business as
THE MANOR
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 1, 1974
Last certification
Dec 21, 2023
Beds
123
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Atlantic Health Centrastate Medical
Organization structure
CorporationNon-profit
Incorporated
Apr 4, 1988 in NJ
Enrollment address
689 W Main St
Freehold, NJ 07728-2511
Nursing home name
MANOR, THE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Manor, theCCN 315153 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Feb 1, 1974
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12356.9 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D0716526Manor,the689 West Main Street, Freehold, NJ 07728Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
John Dellocono Individual Corporate OfficerSenior Vice President, Cfo Oct 22, 2009
Toni Lynn Davis Individual Corporate DirectorAdministrator Feb 6, 2017 95%
Janice McAvenia Individual Corporate DirectorAssistant VP, Revenue Integriy Feb 6, 2017 5%
W-2 Managing EmployeeAvp, Revenue Integrity Feb 6, 2017 45%
Atlantic Health System Organization, Morristown, NJ Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2022 51%

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 6

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

NPI Registry JSON

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1336120948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "689 W MAIN ST",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282511",
            "telephone_number": "732-431-5200",
            "fax_number": "732-409-2446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "689 W MAIN ST",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282511",
            "telephone_number": "732-431-5200",
            "fax_number": "732-409-2446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH AFFILIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-10",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "MCAVENIA",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR, REV CYCLE OPERA",
        "authorized_official_telephone_number": "732-294-7012"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "061307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4489802",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Manor",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Freehold, NJ

Sources for this page

Verify at the official NPI Registry.