NPIMap

Organization Active NPI

Genesis Health Development, Inc.

Doing business as Brooks Health Development

  • Rehabilitation Clinic/Center
  • St Augustine, FL
National Provider Identifier
1609457399
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
319 W Town PL Ste 5
St Augustine, FL 32092-3102
Phone
(386) 775-7488
Fax
(386) 775-9515
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 Managed Care
Phone
(904) 345-7158

Specialties & licenses 1

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

Addresses

Primary practice location

319 W Town PL Ste 5
St Augustine, FL 32092-3102

Mailing address

3599 University Blvd S
Jacksonville, FL 32216-4252

Other practice location 1

8505 San Jose Blvd
Jacksonville, FL 32217-4225
Phone (904) 419-6101

Other practice location 2

10475 Centurion Pkwy N Ste 104
Jacksonville, FL 32256-5004
Phone (904) 854-2050

Other practice location 3

816 A1A N Ste 307
Ponte Vedra, FL 32082-3219
Phone (904) 543-4021

Other practice location 4

400 Colonnade Dr Ste 100
Ponte Vedra, FL 32081-6223
Phone (904) 395-1755

Other practice location 5

5539 Roosevelt Blvd
Jacksonville, FL 32244-2345
Phone (904) 483-2272

Other practice location 6

450 State Road 13 N Ste 112
Saint Johns, FL 32259-3861
Phone (904) 900-5512

Other practice location 7

221 Riverside Ave
Jacksonville, FL 32202-4907
Phone (904) 661-2790

Other practice location 8

10400 San Jose Blvd Ste 8
Jacksonville, FL 32257-6360
Phone (904) 664-8330

Other practice location 9

9100 Merrill Rd Ste 10
Jacksonville, FL 32225-4349
Phone (904) 725-9994

Other practice location 10

4575 US Highway 17
Fleming Island, FL 32003-4825
Phone (904) 637-0148

Other practice location 11

10660 Old Saint Augustine Rd
Jacksonville, FL 32257-1076
Phone (904) 862-2487

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
O20210421000913 FL Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 4183538614 Practice locations: St Augustine, FL; Saint Johns, FL; Ponte Vedra Beach, FL; Ponte Vedra, FL; Orange Park, FL; Jacksonville, FL; Fleming Island, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609457399. Details of each certification follow.

  • CCN 696502 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 696502

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 - WORLD GOLF VILLAGES
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Nov 18, 2021
Last certification
Nov 18, 2021
Ownership / control type
Voluntary Non-Profit Other Than Church
Facility address
319 W Town PL Ste 5
Saint Augustine, FL 32092

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

10475 Centurion Pkwy N
Ste 104
Jacksonville, FL 32256
Phone (904) 854-2050

Practitioners & affiliated clinicians

Practitioners 6

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.

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": "1609457399",
    "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": "319 W TOWN PL STE 5",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320923102",
            "telephone_number": "386-775-7488",
            "fax_number": "386-775-9515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8505 San Jose Blvd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322174225",
            "country_code": "US",
            "telephone_number": "904-419-6101",
            "fax_number": "904-419-6191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10475 Centurion Pkwy N Ste 104",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322565004",
            "country_code": "US",
            "telephone_number": "904-854-2050",
            "fax_number": "904-854-2058",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "816 A1A N Ste 307",
            "address_purpose": "LOCATION",
            "city": "Ponte Vedra",
            "state": "FL",
            "postal_code": "320823219",
            "country_code": "US",
            "telephone_number": "904-543-4021",
            "fax_number": "904-543-4022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Colonnade Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Ponte Vedra",
            "state": "FL",
            "postal_code": "320816223",
            "country_code": "US",
            "telephone_number": "904-395-1755",
            "fax_number": "904-395-1754",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5539 Roosevelt Blvd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322442345",
            "country_code": "US",
            "telephone_number": "904-483-2272",
            "fax_number": "904-483-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "450 State Road 13 N Ste 112",
            "address_purpose": "LOCATION",
            "city": "Saint Johns",
            "state": "FL",
            "postal_code": "322593861",
            "country_code": "US",
            "telephone_number": "904-900-5512",
            "fax_number": "904-999-4815",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "221 Riverside Ave",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322024907",
            "country_code": "US",
            "telephone_number": "904-661-2790",
            "fax_number": "904-661-2793",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10400 San Jose Blvd Ste 8",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322576360",
            "country_code": "US",
            "telephone_number": "904-664-8330",
            "fax_number": "904-664-8331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9100 Merrill Rd Ste 10",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322254349",
            "country_code": "US",
            "telephone_number": "904-725-9994",
            "fax_number": "904-725-9138",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4575 US Highway 17",
            "address_purpose": "LOCATION",
            "city": "Fleming Island",
            "state": "FL",
            "postal_code": "320034825",
            "country_code": "US",
            "telephone_number": "904-637-0148",
            "fax_number": "904-637-0155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10660 Old Saint Augustine Rd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322571076",
            "country_code": "US",
            "telephone_number": "904-862-2487",
            "fax_number": "904-862-2489",
            "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 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 St Augustine, FL

Sources for this page

Verify at the official NPI Registry.