Individual provider Active NPI

Sherona De'Nae Brooks

  • Home Health Agency
  • Jacksonville, NC
National Provider Identifier
1548075476
Registry record updated Aug 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC7990 Issued in NC
Practice address
5114 Western Blvd Apt 1313
Jacksonville, NC 28546-0034
Phone
(103) 820-1959
Fax
(910) 238-4152
NPI assigned
Feb 10, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC7990 NC Primary
In Home Supportive Care Agency 253Z00000X HC7990 NC
Public Health or Welfare Agency 251K00000X
Adult Day Care Clinic/Center 261QA0600X

Addresses

Primary practice location

5114 Western Blvd Apt 1313
Jacksonville, NC 28546-0034

Mailing address

5114 Western Blvd Apt 1313
Jacksonville, NC 28546-0034
Phone (910) 382-0195

Other identifiers 1

IdentifierTypeStateIssuer
1134934805MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
HC7990NCMDIn Home Supportive Care Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Benevolence Home Healthcare LLC Home Health CurrentSince Feb 1, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1739145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755993600000",
    "number": "1548075476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5114 WESTERN BLVD APT 1313",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285460034",
            "telephone_number": "910-382-0195",
            "fax_number": "910-238-4152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5114 WESTERN BLVD APT 1313",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285460034",
            "telephone_number": "103-820-1959",
            "fax_number": "910-238-4152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "SHERONA",
        "middle_name": "DE'NAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-08-24",
        "certification_date": "2025-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC7990",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC7990",
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134934805",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

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

Verify at the official NPI Registry.