NPIMap

Organization Active NPI

Genesis Health Development Inc

Doing business as Brooks Health Development

  • Rehabilitation Clinic/Center
  • Hudson, FL
National Provider Identifier
1821030115
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
13910 Fivay Rd
Suite 6-7
Hudson, FL 34667-7154
Phone
(727) 869-9479
Fax
(904) 345-7284
NPI assigned
Jun 12, 2006
Last updated
Dec 23, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
GENESIS HEALTH DEVELOPMENT INCAs reported in NPPES

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
Chief Operating Officer
Phone
(904) 345-7158

Specialties & licenses 1

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

Addresses

Primary practice location

13910 Fivay Rd
Suite 6-7
Hudson, FL 34667-7154

Mailing address

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

Other practice location 1

4105 Little Rd Ste 100
New Port Richey, FL 34655-1731
Phone (727) 372-6886

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
O20050809001073 FL Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 4183538614 3 other NPIs on this enrollment
Practice locations: New Port Richey, FL; Hudson, 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
Tax ID family
Brooks Rehab Centers9 organizations share this tax ID, including this one
Part of
Brooks Rehab Centers

Other organizations with this tax ID 8

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

NPI 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": "1821030115",
    "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": "13910 FIVAY RD",
            "address_2": "SUITE 6-7",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346677154",
            "telephone_number": "727-869-9479",
            "fax_number": "904-345-7284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4105 Little Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "New Port Richey",
            "state": "FL",
            "postal_code": "346551731",
            "country_code": "US",
            "telephone_number": "727-372-6886",
            "fax_number": "727-375-1663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GENESIS HEALTH DEVELOPMENT INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GENESIS HEALTH DEVELOPMENT INC",
        "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": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "904-345-7158"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "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 Hudson, 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.
  • 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.