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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 281302
- 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, 2014
- 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
- Ms. Linda C Donato
- Title
- VP of Member, Juniper Partners LLC
- Phone
- (973) 661-8300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1461 | Other | PA | BLUE SHIELD |
| 232431939 | Other | PA | MEDICARE SUPPLEMENTS |
| 395756 | Other | PA | GEISINGER |
| 395756 | Other | PA | ADVANTRA |
| 395756 | Other | PA | CAPITAL BLUE CROSS |
Other names 1
- Juniper Village at Brookline-Rehabilitation and Skilled Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 SK
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare
- Ownership
- For profit - Corporation
- Certified
- May 19, 1988
- Medicare certification status
- Active
- Certified beds
- 116
- Chain
- Juniper Communities
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 |
|---|---|---|---|
| 39D0710305 | Juniper Village at Brookline | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Linda Donato | W-2 Managing Employee | Apr 10, 2014 | |
| Diane F Byrne | W-2 Managing Employee | Mar 21, 2019 | |
| Juniper Management, LLC | Operational/Managerial Control | Apr 10, 2014 | |
| Donald F Breneman | W-2 Managing Employee | Mar 21, 2019 | |
| James W Poitras | 5% Or Greater Direct Ownership Interest | Apr 10, 2014 | 14.69% |
| Copperhill Associates LLC | 5% Or Greater Direct Ownership Interest | Apr 10, 2014 | 12.15% |
| Juniper Village at State College Operations II LLC | Limited Partnership Interest | Jan 6, 2014 | 100% |
| Patricia T Poitras | 5% Or Greater Direct Ownership Interest | Apr 10, 2014 | 14.69% |
| Falcon Capital LLC | 5% Or Greater Indirect Ownership Interest | Apr 10, 2014 | 99% |
| Juniper State College Re Holdings II LLC | Other | Apr 10, 2014 |
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-The Spearly Center
- Skilled Nursing Facility
- Denver, CO
- NPI 1417955790
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": "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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; 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.