Organization Active NPI

Juniper Village at State College Operations II LLC

Doing business as Juniper Village at Brookline-Rehabilitation and Skilled Care

  • Skilled Nursing Facility
  • State College, PA
National Provider Identifier
1740280890
Registry record updated Sep 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
281302 Issued in PA
Legal business name
JUNIPER VILLAGE AT STATE COLLEGE OPERATIONS II LLC
Doing business as
Juniper Village at Brookline-Rehabilitation and Skilled Care
Practice address
1950 Cliffside Dr
State College, PA 16801-7662
Phone
(814) 235-2074
Fax
(814) 235-2074
NPI assigned
Jul 29, 2005
Last updated
Sep 11, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2014

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

Authorized official

Name
Ms. Linda C Donato
Title
VP of Member, Juniper Partners LLC
Phone
(973) 661-8300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 281302 PA Primary

Addresses

Primary practice location

1950 Cliffside Dr
State College, PA 16801-7662

Mailing address

400 Broadacres Dr
Bloomfield, NJ 07003-3156
Phone (973) 661-8300

Other identifiers 5

IdentifierTypeStateIssuer
1461OtherPABLUE SHIELD
232431939OtherPAMEDICARE SUPPLEMENTS
395756OtherPAGEISINGER
395756OtherPAADVANTRA
395756OtherPACAPITAL BLUE CROSS

Other names 1

  • Juniper Village at Brookline-Rehabilitation and Skilled Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140815001623 PA Part A Provider - Skilled Nursing Facility 8224255146 Practice locations: State College, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740280890. Details of each certification follow.

Skilled nursing facility certification: CCN 395756

Legal name
JUNIPER VILLAGE AT STATE COLLEGE OPERATIONS II LLC
Doing business as
JUNIPER VILLAGE AT BROOKLINE REHABILITATION AND SKILLED CARE
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
May 19, 1988
Last certification
Apr 25, 2025
Beds
116
Ownership / control type
Corporation
Multi-facility organization
Juniper Communities
Organization structure
LLCProprietary
Incorporated
Jan 6, 2014 in DE
Enrollment address
1950 Cliffside Dr
State College, PA 16801-7662
Nursing home name
JUNIPER VILLAGE AT BROOKLINE-REHABILITATION AND SK
Affiliated entity
JUNIPER COMMUNITIES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Juniper Village at Brookline-Rehabilitation and SKCCN 395756 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
3 of 5
Type
Medicare
Ownership
For profit - Corporation
Certified
May 19, 1988
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
11651.5 residents per day on average
Chain
Juniper Communities3 facilities in the chain

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
39D0710305Juniper Village at Brookline1950 Cliffside Drive, State College, PA 16801Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 10

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 W-2 Managing EmployeeVP Operations Director of Long T Apr 10, 2014
Diane F Byrne Individual W-2 Managing Employee Mar 21, 2019
Juniper Management, LLC Organization, Bloomfield, NJ LLC, Management services company, For-profit Operational/Managerial Control Apr 10, 2014
Donald F Breneman Individual W-2 Managing Employee Mar 21, 2019
James W Poitras Individual 5% Or Greater Direct Ownership Interest Apr 10, 2014 14.69%
Copperhill Associates LLC Organization, Warren, NJ LLC, For-profit 5% Or Greater Direct Ownership Interest Apr 10, 2014 12.15%
Juniper Village at State College Operations II LLC Organization, State College, PA Created for acquisition, LLC Limited Partnership Interest Jan 6, 2014 100%
Patricia T Poitras Individual 5% Or Greater Direct Ownership Interest Apr 10, 2014 14.69%
Falcon Capital LLC Organization, Warren, NJ LLC, For-profit 5% Or Greater Indirect Ownership Interest Apr 10, 2014 99%
Juniper State College Re Holdings II LLC Organization, Bloomfield, NJ Created for acquisition, LLC, For-profit Other Apr 10, 2014

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": "1122595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410393600000",
    "number": "1740280890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 BROADACRES DR",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033156",
            "telephone_number": "973-661-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 CLIFFSIDE DR",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168017662",
            "telephone_number": "814-235-2074",
            "fax_number": "814-235-2074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNIPER VILLAGE AT STATE COLLEGE OPERATIONS II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-29",
        "last_updated": "2014-09-11",
        "status": "A",
        "authorized_official_last_name": "DONATO",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "VP OF MEMBER, JUNIPER PARTNERS LLC",
        "authorized_official_telephone_number": "973-661-8300",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "281302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1461",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE SUPPLEMENTS",
            "identifier": "232431939",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER",
            "identifier": "395756",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANTRA",
            "identifier": "395756",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "395756",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Juniper Village at Brookline-Rehabilitation and Skilled Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in State College, PA

Sources for this page

Verify at the official NPI Registry.