New Jersey Memorial Home Member's Fund

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

050625 Issued in NJ

Legal business name

NEW JERSEY MEMORIAL HOME MEMBER'S FUND

Practice address

524 N West Blvd
Vineland, NJ 08360-2845

Phone

(856) 405-4207

NPI assigned

Sep 30, 2005

Last updated

Nov 5, 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

Mrs. Allyson Bailey

Title

Lnha

Phone

(856) 405-4207

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1659368041. Details of each certification follow.

• CCN 315496 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 315496

Legal name

NEW JERSEY MEMORIAL HOME MEMBER'S FUND

Certification status

Active

Provider type (POS)

Nursing home – SNF (Medicare) only

Participating since

May 1, 2006

Last certification

Aug 30, 2024

Beds

300

Ownership / control type

State

Organization structure

OtherNon-profit

Enrollment address

524 N West Blvd
Vineland, NJ 08360-2845

Nursing home name

NEW JERSEY VETERANS MEMORIAL VINELAND

Listed as

New Jersey Veterans Memorial VinelandCCN 315496 · All quality measures

Overall star rating

3 of 5

Health inspections

2 of 5

Staffing

5 of 5

Quality measures

3 of 5

Type

Medicare

Ownership

Government - State

Certified

May 1, 2006

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

300232.2 residents per day on average

Processed by Care Compare on Aug 1, 2026.

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 2

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

• Ekram L Hanna, MD

  • Internal Medicine Physician
  • Bridgeton, NJ
  • NPI 1730273772

  Nursing home

  Care Compare affiliation
• John E Hatzantonis, MD

  • Internal Medicine Physician
  • Bridgeton, NJ
  • NPI 1467551374

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604534400000",
    "number": "1659368041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 N WEST BLVD",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083602845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 N WEST BLVD",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083602845",
            "telephone_number": "856-405-4207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW JERSEY MEMORIAL HOME MEMBER'S FUND",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-30",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "ALLYSON",
        "authorized_official_title_or_position": "LNHA",
        "authorized_official_telephone_number": "856-405-4207",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "050625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• New Jersey Veterans Memorial Home
• Shamika Shanice Newland
• Ophelia Newman Hue
• Mackenzie Newman
• Lamin G. Ngobeh, PHARMACIST

• Skilled Nursing Facility in Vineland, NJ
• Providers in Vineland, 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 Nov 5, 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.