Active NPI
Juniper Park, LP
Doing business as Juniper Village-The Spearly Center
- Skilled Nursing Facility
- Denver, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0073
- 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, 2010
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05652565 | Medicaid | CO |
Other names 1
- Juniper Village-The Spearly Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Partnership
- 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 Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Apr 11, 1994
- Medicare certification status
- Active
- Certified beds
- 135
- Chain
- Juniper Communities
- Penalties (3 years)
- 7
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 06D0513241 | Juniper Village, the Spearly Center | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Linda Donato | Operational/Managerial Control | May 31, 2023 | |
| Adp of the SNF | May 31, 2023 | ||
| Marie Lopez | Adp of the SNF | Aug 1, 2023 | |
| Juniper Management, LLC | Operational/Managerial Control | Jun 28, 2013 | |
| Adp of the SNF | Mar 12, 2025 | ||
| Juniper Park, LP | 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 | Adp of the SNF | Jun 13, 2019 | |
| Tamara Orndoff | Adp of the SNF | Jun 12, 2023 | |
| Jeannae Dergance | Adp of the SNF | Jan 1, 2024 | |
| Tina Spillane | Adp of the SNF | May 16, 2011 | |
| Juniper Partners, LLC | Limited Partnership Interest | Jun 28, 2013 | 0.1% |
| Operational/Managerial Control | Jun 28, 2010 | ||
| Adp of the SNF | Mar 13, 2025 | ||
| Donald F Breneman | Corporate Officer | Jul 2, 2024 | |
| Operational/Managerial Control | Jul 2, 2024 | ||
| Adp of the SNF | Jul 2, 2024 | ||
| James W Poitras | 5% Or Greater Indirect Ownership Interest | Jun 28, 2013 | 14.69% |
| Adp of the SNF | Jun 28, 2010 | ||
| Charles Hastings | Corporate Officer | Jan 20, 2010 | |
| Operational/Managerial Control | Jan 20, 2010 | ||
| Adp of the SNF | Jan 20, 2010 | ||
| Copperhill Associates LLC | 5% Or Greater Indirect Ownership Interest | Jun 28, 2013 | 12.15% |
| Adp of the SNF | Jun 28, 2013 | ||
| Lynn Katzmann | Corporate Officer | Jun 28, 2013 | |
| Operational/Managerial Control | Jun 28, 2013 | ||
| Adp of the SNF | Jun 28, 2013 | ||
| Juniper Communties LLC | 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 | Corporate Officer | Jul 2, 2024 | |
| Operational/Managerial Control | Jul 2, 2024 | ||
| Adp of the SNF | Jul 2, 2024 | ||
| Keith Nugent | Adp of the SNF | Oct 21, 2019 | |
| Patricia T Poitras | 5% Or Greater Indirect Ownership Interest | Jun 28, 2013 | 14.69% |
| Adp of the SNF | Jun 28, 2010 | ||
| Stephanie Pressler | Operational/Managerial Control | Dec 2, 2016 | |
| Adp of the SNF | Dec 2, 2016 | ||
| Merina Cdebaca | Adp of the SNF | Mar 19, 2013 | |
| Falcon Capital LLC | 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.
-
- Geriatric Medicine (Family Medicine) Physician
- Aurora, CO
- NPI 1841237070
Adp of the SNF
Facilities with the same owner 4
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Juniper Village at Bucks County Rehabilitation and Skilled Care
- Skilled Nursing Facility
- Bensalem, PA
- NPI 1427503762
Copperhill Associates LLC, Falcon Capital LLC, Juniper Management, LLC
-
dba Juniper Village at Brookline-Rehabilitation and Skilled Care
- Skilled Nursing Facility
- State College, PA
- NPI 1740280890
Copperhill Associates LLC, Falcon Capital LLC, Juniper Management, LLC
-
dba Juniper Village at Lincoln Heights
- Skilled Nursing Facility
- San Antonio, TX
- NPI 1144639055
Juniper Management, LLC
-
dba Juniper Village at Spicewood Summit
- Skilled Nursing Facility
- Austin, TX
- NPI 1154730067
Juniper Management, LLC
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; 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.