NPIMap

Organization Active NPI

Brooks Home Care Advantage, Inc

  • Home Health Agency
  • Daytona Beach, FL
National Provider Identifier
1568041333
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BROOKS HOME CARE ADVANTAGE, INC
Practice address
1673 Mason Ave Ste 201
Daytona Beach, FL 32117-5516
Phone
(386) 274-3199
Fax
(386) 274-3197
NPI assigned
Apr 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Authorized official

Name
Jennifer Hope Allen
Title
Director
Phone
(904) 345-7158

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1673 Mason Ave Ste 201
Daytona Beach, FL 32117-5516

Mailing address

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

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
O20081105000315 FL Part A Provider - Home Health Agency 9638238694 1 other NPI on this enrollment
Practice locations: Daytona Beach, FL

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

All disclosed owners & managing parties 4

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%
Douglas Baer Individual Corporate Director Jul 1, 2008
W-2 Managing Employee Jul 1, 2008
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

National Provider Directory

National Provider Directory
Tax ID family
Brooks Home Care Advantage Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1673 Mason Ave
Ste 1A
Daytona Beach, FL 32117

1673 Mason Ave
Ste 207
Daytona Beach, FL 32117
Phone (386) 274-3199

Other NPIs on the same Medicare enrollment 1

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

Other NPIs with the same Medicare PAC ID 2

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

Facilities with the same owner 5

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

Affiliated clinicians 43

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

View all 43

Care Compare: Home health agency

Medicare Care Compare
Listed as
Brooks Rehabilitation Home HealthCCN 107628
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

NPI Registry JSON

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787184000000",
    "number": "1568041333",
    "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": "1673 MASON AVE STE 201",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175516",
            "telephone_number": "386-274-3199",
            "fax_number": "386-274-3197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKS HOME CARE ADVANTAGE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-07",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "HOPE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "904-345-7158"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "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": []
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.