NPIMap

Organization Active NPI

Brooks Home Care Advantage, Inc.

Doing business as Brooks Rehabilitation Home Health

  • Home Health Agency
  • Jacksonville, FL
National Provider Identifier
1184895740
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BROOKS HOME CARE ADVANTAGE, INC.
Doing business as
Brooks Rehabilitation Home Health
Practice address
6676 Corporate Center Pkwy Ste 104
Jacksonville, FL 32216-8091
Phone
(904) 722-1515
Fax
(904) 722-1517
NPI assigned
Mar 21, 2008
Last updated
Dec 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

6676 Corporate Center Pkwy Ste 104
Jacksonville, FL 32216-8091

Mailing address

3599 University Blvd S
Jacksonville, FL 32216-4252
Phone (904) 345-7291

Other practice location 1

190 Southpark Blvd Ste 102
St Augustine, FL 32086-4209
Phone (904) 797-2334

Other practice location 2

1409 Kingsley Ave Ste 1A
Orange Park, FL 32073-4532
Phone (904) 269-4445

Other practice location 3

1699 S 14th St Ste 12
Fernandina Beach, FL 32034-1964
Phone (904) 261-5000

Other identifiers 4

IdentifierTypeStateIssuer
299991243OtherFLLICENSE
299991968OtherFLLICENSE
299993790OtherFLLICENSE
299993789OtherFLLICENSE

Other names 1

  • Brooks Rehabilitation Home Health Doing business as

Electronic endpoints 1

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20081105000315 FL Part A Provider - Home Health Agency 9638238694 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Daytona Beach, FL
O20210618002207 FL Part A Provider - Home Health Agency 9638238694 Practice locations: St Augustine, FL; Orange Park, FL; Fernandina Beach, FL; Jacksonville, FL

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1184895740. Details of each certification follow.

Home health agency certification: CCN 107628

Legal name
BROOKS HOME CARE ADVANTAGE, INC.
Doing business as
BROOKS REHABILITATION HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 21, 2000
Last certification
Oct 25, 2019
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
Mar 19, 2008 in FL
Enrollment address
1673 Mason Ave
Ste 201
Daytona Beach, FL 32117-5516

Home health agency certification: CCN 103174

Legal name
BROOKS HOME CARE ADVANTAGE, INC.
Doing business as
BROOKS REHABILIATION HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 28, 2013
Last certification
Feb 19, 2016
Ownership / control type
Proprietary
Organization structure
CorporationNon-profit
Incorporated
Jun 30, 2008 in FL
Enrollment address
6676 Corporate Center Pkwy
Ste 104
Jacksonville, FL 32216-0108

Other NPIs with the same Medicare PAC ID 2

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Home health agency

Medicare Care Compare
Listed as
Brooks Rehabilitation Home HealthCCN 103174 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Feb 28, 2013
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Care Compare: Home health agency

Medicare Care Compare
Listed as
Brooks Rehabilitation Home HealthCCN 107628 · All quality measures
Overall star rating
4 of 5
Ownership
Non-Profit
Certified
Dec 21, 2000
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1699 S 14th St
Ste 12
Fernandina Beach, FL 32034
Phone (904) 261-5000

5836 Richard St
Jacksonville, FL 32216
Phone (904) 306-9727

1409 Kingsley Ave
Ste 1A
Orange Park, FL 32073
Phone (904) 269-4445

190 Southpark Blvd
Ste 102
St Augustine, FL 32086
Phone (904) 417-6236

Networks

  • Freedom Health HMO NetworkPlans: 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 Máximo (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)…
  • Optimum HealthCare HMO NetworkPlans: 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)

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Genesis Health Inc Organization, Jacksonville, FL Corporation 5% Or Greater Direct Ownership Interest Jun 9, 2017 100%
5% Or Greater Direct Ownership Interest Jun 30, 2008 100%
Douglas Baer Individual Corporate Director Jul 1, 2008
W-2 Managing Employee Jul 1, 2008
Corporate OfficerCeo May 17, 2021
Jennifer Allen Individual W-2 Managing EmployeeDirector of Managed Care Feb 10, 2025
OtherDirector of Managed Care Feb 10, 2025
James Tabor Individual Corporate OfficerChief Financial Officer Feb 28, 2022
W-2 Managing Employee Feb 28, 2022
Corporate OfficerCfo Feb 1, 2022
Vanessa Merz Individual W-2 Managing EmployeeCredentialing Jul 18, 2025

Facilities with the same owner 5

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

Change-of-ownership history 1

DateEventCounterparty
May 17, 2021 Change of OwnershipThis provider was the buyer Florida First Care, Inc.CCN 103174, FL, NPI 1215220421

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 446

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 446

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1206057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766448000000",
    "number": "1184895740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3599 UNIVERSITY BLVD S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164252",
            "telephone_number": "904-345-7291",
            "fax_number": "904-345-7284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6676 CORPORATE CENTER PKWY STE 104",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168091",
            "telephone_number": "904-722-1515",
            "fax_number": "904-722-1517"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "190 Southpark Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "320864209",
            "country_code": "US",
            "telephone_number": "904-797-2334",
            "fax_number": "904-547-2194",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1409 Kingsley Ave Ste 1A",
            "address_purpose": "LOCATION",
            "city": "Orange Park",
            "state": "FL",
            "postal_code": "320734532",
            "country_code": "US",
            "telephone_number": "904-269-4445",
            "fax_number": "904-579-4386",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1699 S 14th St Ste 12",
            "address_purpose": "LOCATION",
            "city": "Fernandina Beach",
            "state": "FL",
            "postal_code": "320341964",
            "country_code": "US",
            "telephone_number": "904-261-5000",
            "fax_number": "904-310-9049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BROOKS HOME CARE ADVANTAGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-21",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "JENI",
        "authorized_official_title_or_position": "DIRECTOR OF MANAGED CARE",
        "authorized_official_telephone_number": "904-345-7158"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "299991243",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "299991968",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "299993790",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "299993789",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Brooks Rehabilitation Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brooks Rehabilitation Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.