Organization Active NPI

Juniper Park, LP

Doing business as Juniper Village-The Spearly Center

  • Skilled Nursing Facility
  • Denver, CO
National Provider Identifier
1417955790
Registry record updated May 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0073 Issued in CO
Legal business name
JUNIPER PARK, LP
Doing business as
Juniper Village-The Spearly Center
Practice address
2205 W 29TH Ave
Denver, CO 80211-3803
Phone
(303) 458-1112
Fax
(303) 433-1212
NPI assigned
Jul 12, 2005
Last updated
May 26, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2010

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

Authorized official

Name
Mrs. Linda C Donato
Title
Director Community Accounting
Phone
(973) 945-3626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0073 CO Primary

Addresses

Primary practice location

2205 W 29TH Ave
Denver, CO 80211-3803

Mailing address

2205 W 29TH Ave
Denver, CO 80211-3803
Phone (303) 458-1112

Other identifiers 1

IdentifierTypeStateIssuer
05652565MedicaidCO

Other names 1

  • Juniper Village-The Spearly Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100204000926 CO Part A Provider - Skilled Nursing Facility 1759424294 Practice locations: Denver, CO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1417955790. Details of each certification follow.

Skilled nursing facility certification: CCN 065327

Legal name
JUNIPER PARK, LP
Doing business as
JUNIPER VILLAGE-THE SPEARLY CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 11, 1994
Last certification
Apr 25, 2025
Beds
135
Ownership / control type
Corporation
Organization structure
PartnershipProprietary
Incorporated
Nov 16, 1993 in DE
Enrollment address
2205 West 29TH Street
Juniper Village-the Spearly Center
Denver, CO 80211-3803
Nursing home name
JUNIPER VILLAGE - THE SPEARLY CENTER
Affiliated entity
JUNIPER COMMUNITIES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Juniper Village - the Spearly CenterCCN 065327 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Apr 11, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
135126.9 residents per day on average
Chain
Juniper Communities3 facilities in the chain
Penalties (3 years)
7Fines totaling $267,831

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
06D0513241Juniper Village, the Spearly Center2205 W 29TH Ave, Denver, CO 80211Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 21

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

NameRoleSinceShare
Linda Donato Individual Operational/Managerial ControlHome Office Staff - Director May 31, 2023
Adp of the SNF May 31, 2023
Marie Lopez Individual Adp of the SNF Aug 1, 2023
Juniper Management, LLC Organization, Bloomfield, NJ LLC Operational/Managerial Control Jun 28, 2013
Adp of the SNF Mar 12, 2025
Juniper Park, LP Organization, Bloomfield, NJ Created for acquisition, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Mar 18, 2010 100%
Limited Partnership Interest Mar 18, 2010 100%
Operational/Managerial Control Mar 18, 2010
Adp of the SNF Mar 18, 2010
Darrius Nevares Individual Adp of the SNF Jun 13, 2019
Tamara Orndoff Individual Adp of the SNF Jun 12, 2023
Jeannae Dergance Individual Adp of the SNF Jan 1, 2024
Tina Spillane Individual Adp of the SNF May 16, 2011
Juniper Partners, LLC Organization, Bloomfield, NJ LLC, Chain home office, Owned by another organization or individual Limited Partnership Interest Jun 28, 2013 0.1%
Operational/Managerial Control Jun 28, 2010
Adp of the SNF Mar 13, 2025
Donald F Breneman Individual Corporate OfficerCoo Jul 2, 2024
Operational/Managerial ControlHome Office Staff Member Jul 2, 2024
Adp of the SNF Jul 2, 2024
James W Poitras Individual 5% Or Greater Indirect Ownership Interest Jun 28, 2013 14.69%
Adp of the SNF Jun 28, 2010
Charles Hastings Individual Corporate OfficerPresident Jan 20, 2010
Operational/Managerial ControlHome Offie Staff Member - Cfo Jan 20, 2010
Adp of the SNF Jan 20, 2010
Copperhill Associates LLC Organization, Warren, NJ LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 28, 2013 12.15%
Adp of the SNF Jun 28, 2013
Lynn Katzmann Individual Corporate OfficerCeo Jun 28, 2013
Operational/Managerial Control Jun 28, 2013
Adp of the SNF Jun 28, 2013
Juniper Communties LLC Organization, Bloomfield, NJ LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jun 28, 2013 99%
Adp of the SNF Jun 28, 2013
Direct Ownership Interest Jun 28, 2013 99%
Amy Purcell Individual Corporate OfficerVP National Director of Sales Jul 2, 2024
Operational/Managerial Control Jul 2, 2024
Adp of the SNF Jul 2, 2024
Keith Nugent Individual Adp of the SNF Oct 21, 2019
Patricia T Poitras Individual 5% Or Greater Indirect Ownership Interest Jun 28, 2013 14.69%
Adp of the SNF Jun 28, 2010
Stephanie Pressler Individual Operational/Managerial Control Dec 2, 2016
Adp of the SNF Dec 2, 2016
Merina Cdebaca Individual Adp of the SNF Mar 19, 2013
Falcon Capital LLC Organization, Warren, NJ LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 28, 2013 12.15%
Adp of the SNF Jun 28, 2013

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 4

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

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1121126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274832000000",
    "number": "1417955790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 W 29TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802113803",
            "telephone_number": "303-458-1112",
            "fax_number": "303-433-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 W 29TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802113803",
            "telephone_number": "303-458-1112",
            "fax_number": "303-433-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNIPER PARK, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-12",
        "last_updated": "2010-05-26",
        "status": "A",
        "authorized_official_last_name": "DONATO",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR COMMUNITY ACCOUNTING",
        "authorized_official_telephone_number": "973-945-3626",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CO",
            "license": "0073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05652565",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Juniper Village-The Spearly Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.