NPIMap

Organization Active NPI

Genesis Health Development, Inc.

Doing business as Brooks Health Development

  • Rehabilitation Clinic/Center
  • Daytona Beach, FL
National Provider Identifier
1225619919
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
GENESIS HEALTH DEVELOPMENT, INC.
Doing business as
Brooks Health Development
Practice address
201 N Clyde Morris Blvd Ste 300
Daytona Beach, FL 32114-2765
Phone
(386) 236-7017
Fax
(386) 236-7018
NPI assigned
Apr 15, 2021
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 Managedcare
Phone
(904) 345-7158

Specialties & licenses 1

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

Addresses

Primary practice location

201 N Clyde Morris Blvd Ste 300
Daytona Beach, FL 32114-2765

Mailing address

3599 University Blvd S
Jacksonville, FL 32216-4252

Other practice location 1

9 Pine Cone Dr Ste 104B
Palm Coast, FL 32137-8683
Phone (386) 446-9716

Other practice location 2

3863 - H South Nova Road
Port Orange, FL 32127-4153
Phone (386) 236-7010

Other practice location 3

1240 W Granada Blvd Ste 101
Ormond Beach, FL 32174-5915
Phone (386) 898-0220

Other practice location 4

2621 Enterprise Rd Ste 100
Orange City, FL 32763-8270
Phone (386) 775-7488

Other names 1

  • Brooks Health Development 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 FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210421000674 FL Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 4183538614 Practice locations: Daytona Beach, FL; Port Orange, FL; Palm Coast, FL; Orange City, FL; Ormond Beach, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1225619919. Details of each certification follow.

  • CCN 696504 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 696504

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
BROOKS REHAB CENTER - DAYTONA BEACH
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Dec 30, 2021
Last certification
Dec 30, 2021
Ownership / control type
Voluntary Non-Profit Other Than Church
Facility address
201 N Clyde Morris Blvd. Ste 300
Daytona Beach, FL 32114

Other NPIs with the same Medicare PAC ID 8

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

National Provider Directory

National Provider Directory
Tax ID family
Brooks Rehab Centers9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3955 University Blvd S
Jacksonville, FL 32216

1240 W Granada Blvd
Ste 101
Ormond Beach, FL 32174
Phone (386) 898-0220

9 Pine Cone Dr
Ste 104B
Palm Coast, FL 32137
Phone (386) 446-9716

NPI Registry JSON

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766448000000",
    "number": "1225619919",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N CLYDE MORRIS BLVD STE 300",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321142765",
            "telephone_number": "386-236-7017",
            "fax_number": "386-236-7018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Pine Cone Dr Ste 104B",
            "address_purpose": "LOCATION",
            "city": "Palm Coast",
            "state": "FL",
            "postal_code": "321378683",
            "country_code": "US",
            "telephone_number": "386-446-9716",
            "fax_number": "386-446-0046",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3863 - H South Nova Road",
            "address_purpose": "LOCATION",
            "city": "Port Orange",
            "state": "FL",
            "postal_code": "321274153",
            "country_code": "US",
            "telephone_number": "386-236-7010",
            "fax_number": "386-236-7002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1240 W Granada Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Ormond Beach",
            "state": "FL",
            "postal_code": "321745915",
            "country_code": "US",
            "telephone_number": "386-898-0220",
            "fax_number": "386-898-0221",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2621 Enterprise Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Orange City",
            "state": "FL",
            "postal_code": "327638270",
            "country_code": "US",
            "telephone_number": "386-775-7488",
            "fax_number": "386-775-9515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GENESIS HEALTH DEVELOPMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-15",
        "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 MANAGEDCARE",
        "authorized_official_telephone_number": "904-345-7158"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "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 Health Development",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.