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Genesis Health Development Inc

Organization Active NPI Rehabilitation Clinic/Center · Jacksonville, FL

NPI 1033154992 · NPPES record last updated Dec 23, 2025

Key facts

NPI
1033154992
Entity type
Organization (NPI type 2)
Primary specialty
Rehabilitation Clinic/Center 261QR0400X
Legal business name
GENESIS HEALTH DEVELOPMENT INC
Practice address
3901 University Blvd S Ste 103
Jacksonville, FL 32216-4374
Phone
(904) 389-9989
Fax
(904) 389-1060
NPI assigned
Jun 17, 2006
Organization subpart
Yes
Parent organization (as reported)
GENESIS HEALTH DEVELOPMENT INC

Authorized official

Name
Jeni Allen
Title
Director of Managedcare
Phone
(904) 345-7158

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Practitioners 43

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 43

Medicare participation

Medicare fee-for-service enrollment
Enrolled in FL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20140429000503 FL Part B Supplier - Clinic/Group Practice 4183538614 Receives reassigned benefits from 42 practitioners
Practice locations: Jacksonville, FL

National Provider Directory

Part of
Brooks Rehab Centers

Locations

400 Colonnade Dr
Ste 100
Ponte Vedra Beach, FL 32081
Phone (904) 395-1755

Networks

  • Optimum HealthCare HMO Network
    Plans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)
  • Freedom Health HMO Network
    Plans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Yes

Addresses

Primary practice location

3901 University Blvd S Ste 103
Jacksonville, FL 32216-4374

Mailing address

3599 University Blvd S
Jacksonville, FL 32216-4252
Phone (904) 345-7158

Other names

  • Brooks Rehab Center/Low Vision Doing business as

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Other providers in Jacksonville, FL

All providers in Jacksonville, FL · Rehabilitation Clinic/Center in Florida

Sources for this page

Verify at the official NPI Registry.