Active NPI
Brooks Home Care Advantage, Inc
- Home Health Agency
- St Augustine, FL
National Provider Identifier
1669414926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 299991968
- Legal business name
- BROOKS HOME CARE ADVANTAGE, INC
- Practice address
- 2730 US 1 S Ste Gandh
St Augustine, FL 32086-6341 - Phone
- (904) 722-1515
- Fax
- (904) 722-1517
- NPI assigned
- Jun 12, 2006
- Organization subpart
- No
NPPES NPI Registry
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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 299991968 | FL | Primary |
| Home Health Agency | 251E00000X | 299993785 | FL | |
| Home Health Agency | 251E00000X | 299993790 | FL | |
| Home Health Agency | 251E00000X | 299993791 | FL | |
| Home Health Agency | 251E00000X | 299993789 | FL | |
| Home Health Agency | 251E00000X | 299993792 | FL | |
| Home Health Agency | 251E00000X | 299993282 | FL |
Addresses
Primary practice location
2730 US 1 S Ste Gandh
St Augustine, FL 32086-6341
Mailing address
3599 University Blvd S
Jacksonville, FL 32216-4252
Phone (904) 345-7607
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7144812 | Other | FL | AETNA PROVIDER NUMBER |
| J9D | Other | FL | BC/BS PROVIDER NUMBER |
Other names 1
- Brooks Rehabilitation Home Health
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1766448000000",
"number": "1669414926",
"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": "904-345-7607",
"fax_number": "904-345-7284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2730 US 1 S STE GANDH",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320866341",
"telephone_number": "904-722-1515",
"fax_number": "904-722-1517"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROOKS HOME CARE ADVANTAGE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-12",
"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": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "FL",
"license": "299991968",
"primary": true
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "FL",
"license": "299993785",
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "FL",
"license": "299993790",
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "FL",
"license": "299993791",
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "FL",
"license": "299993789",
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "FL",
"license": "299993792",
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "FL",
"license": "299993282",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER NUMBER",
"identifier": "7144812",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS PROVIDER NUMBER",
"identifier": "J9D",
"state": "FL"
}
],
"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 Rehabilitation Home Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in St Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.