NPIMap

Organization Active NPI

Genesis Health Development, Inc.

  • Rehabilitation Clinic/Center
  • Kissimmee, FL
National Provider Identifier
1366042491
Registry record updated Dec 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
GENESIS HEALTH DEVELOPMENT, INC.
Practice address
1172 W Osceola Pkwy
Kissimmee, FL 34741-7515
Phone
(689) 204-2221
Fax
(689) 204-2225
NPI assigned
Oct 28, 2020
Organization subpart
Yes
Parent organization
GENESIS HEALTH, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 24, 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
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

1172 W Osceola Pkwy
Kissimmee, FL 34741-7515

Mailing address

3599 University Blvd S
Jacksonville, FL 32216-4252
Phone (904) 345-7600

Other practice location 1

2441 S Hiawassee Rd
Orlando, FL 32835-6347
Phone (407) 965-5818

Other practice location 2

15508 W Colonial Dr Ste 100
Winter Garden, FL 34787-9557
Phone (407) 347-4101

Other practice location 3

3337 S Orange Blossom Trl
Kissimmee, FL 34746-6565
Phone (321) 999-9250

Other practice location 4

12958 Sunstone Ave.
Ste. 101
Orlando, FL 32832
Phone (689) 223-3632

Other practice location 5

515 S Chickasaw Trl
Orlando, FL 32825-7801
Phone (407) 710-1946

Other practice location 6

2960 Maguire Rd Ste 1001
Ocoee, FL 34761-4755
Phone (321) 999-9285

Other practice location 7

2705 Simpson Rd Ste 111
Kissimmee, FL 34744-4698
Phone (689) 223-5490

Other practice location 8

2849 S Orange Ave Ste 360
Orlando, FL 32806-5467
Phone (689) 207-4255

Other practice location 9

339 Cypress Pkwy Ste 101
Kissimmee, FL 34759-3302
Phone (407) 305-3577

Other practice location 10

1700 Sand Lake Rd Ste 115116
Orlando, FL 32809-9127
Phone (407) 723-7581

Other practice location 11

4270 Aloma Ave Ste 150
Winter Park, FL 32792-9343
Phone (321) 999-9260

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
O20201116001075 FL Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 4183538614 Practice locations: Kissimmee, FL; Winter Park, FL; Winter Garden, FL; Orlando, FL; Ocoee, FL

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

Locations (25 of 27)

2616 S Highway 27
Clermont, FL 34711
Phone (352) 565-5992

201 N Clyde Morris Blvd
Ste 320
Daytona Beach, FL 32114
Phone (386) 236-7016

1885 S 14th St
Fernandina Beach, FL 32034
Phone (904) 261-7878

13910 Fivay Rd
Ste 67
Hudson, FL 34667
Phone (727) 869-9479

14100 Fivay Rd
Ste 210
Hudson, FL 34667
Phone (727) 869-9479

10475 Centurion Pkwy N
Ste 304
Jacksonville, FL 32256
Phone (904) 270-2673

2700 University Blvd W
Ste B
Jacksonville, FL 32217

3901 University Blvd S
Ste 103
Jacksonville, FL 32216
Phone (904) 345-7373

2705 Simpson Rd
Kissimmee, FL 34744

820 Commed Blvd
Orange City, FL 32763
Phone (386) 775-7488

1689 Eagle Harbor Pkwy
Orange Park, FL 32003
Phone (904) 269-1366

2849 S Orange Ave
Ste 360
Orlando, FL 32806
Phone (689) 207-4255

1700 Sand Lake Rd
Ste 115
Orlando, FL 32809

2849 S Orange Ave
#360
Orlando, FL 32806

100 W Gore St
Ste 304
Orlando, FL 32806

1700 Sand Lake Rd
Ste 115116
Orlando, FL 32809
Phone (407) 723-7581

12958 Sunstone Ave
Ste 101
Orlando, FL 32832
Phone (689) 223-3632

1240 W Granada Blvd
Ste 100
Ormond Beach, FL 32174

2572 W State Road 426
Ste 1080
Oviedo, FL 32765
Phone (407) 796-5265

1121 Alafaya Trl
Ste 1073
Oviedo, FL 32765
Phone (407) 303-8626

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

816 A1A N
Ste 307
Ponte Vedra Beach, FL 32082
Phone (904) 543-4021

466 Town Plaza Ave
Ste 320
Ponte Vedra Beach, FL 32081
Phone (904) 395-1755

319 W Town Pl
St Augustine, FL 32092
Phone (904) 342-5262

15508 W Colonial Dr
Ste 100
Winter Garden, FL 34787
Phone (407) 347-4101

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 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)…
  • 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)

Practitioners & affiliated clinicians

Practitioners 36

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

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766534400000",
    "number": "1366042491",
    "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": "904-345-7600",
            "fax_number": "904-345-7619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1172 W OSCEOLA PKWY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347417515",
            "telephone_number": "689-204-2221",
            "fax_number": "689-204-2225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2441 S Hiawassee Rd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328356347",
            "country_code": "US",
            "telephone_number": "407-965-5818",
            "fax_number": "407-965-5819",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15508 W Colonial Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Winter Garden",
            "state": "FL",
            "postal_code": "347879557",
            "country_code": "US",
            "telephone_number": "407-347-4101",
            "fax_number": "407-347-4102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3337 S Orange Blossom Trl",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347466565",
            "country_code": "US",
            "telephone_number": "321-999-9250",
            "fax_number": "321-999-9251",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12958 Sunstone Ave.",
            "address_2": "Ste. 101",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "32832",
            "country_code": "US",
            "telephone_number": "689-223-3632",
            "fax_number": "689-223-3633",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "515 S Chickasaw Trl",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328257801",
            "country_code": "US",
            "telephone_number": "407-710-1946",
            "fax_number": "407-710-1951",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2960 Maguire Rd Ste 1001",
            "address_purpose": "LOCATION",
            "city": "Ocoee",
            "state": "FL",
            "postal_code": "347614755",
            "country_code": "US",
            "telephone_number": "321-999-9285",
            "fax_number": "321-999-8286",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2705 Simpson Rd Ste 111",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347444698",
            "country_code": "US",
            "telephone_number": "689-223-5490",
            "fax_number": "689-223-5491",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2849 S Orange Ave Ste 360",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328065467",
            "country_code": "US",
            "telephone_number": "689-207-4255",
            "fax_number": "689-204-4256",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "339 Cypress Pkwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347593302",
            "country_code": "US",
            "telephone_number": "407-305-3577",
            "fax_number": "407-530-3578",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1700 Sand Lake Rd Ste 115116",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328099127",
            "country_code": "US",
            "telephone_number": "407-723-7581",
            "fax_number": "407-723-7582",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4270 Aloma Ave Ste 150",
            "address_purpose": "LOCATION",
            "city": "Winter Park",
            "state": "FL",
            "postal_code": "327929343",
            "country_code": "US",
            "telephone_number": "321-999-9260",
            "fax_number": "321-999-9261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GENESIS HEALTH DEVELOPMENT, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GENESIS HEALTH, INC.",
        "enumeration_date": "2020-10-28",
        "last_updated": "2025-12-24",
        "certification_date": "2025-12-24",
        "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": "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 Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.