NPIMap

Organization Active NPI

Genesis Rehabilitation Hospital, Inc.

Doing business as Brooks Rehabilitation

  • Rehabilitation Hospital
  • Jacksonville, FL
National Provider Identifier
1912947748
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
License
4443 Issued in FL
Legal business name
GENESIS REHABILITATION HOSPITAL, INC.
Doing business as
Brooks Rehabilitation
Brooks Rehabilitation Centers
Brooks Rehabilitation Hospital
Practice address
3599 University Blvd S
Jacksonville, FL 32216-4252
Phone
(904) 345-7607
Fax
(904) 345-7284
NPI assigned
Jun 8, 2006
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 Hospital 283X00000X 4443 FL Primary

Addresses

Primary practice location

3599 University Blvd S
Jacksonville, FL 32216-4252

Mailing address

3599 University Blvd S
Jacksonville, FL 32216-4252
Phone (904) 345-7600

Other practice location 1

1034 Dunn Ave
Jacksonville, FL 32218-4830
Phone (904) 757-1782

Other practice location 2

7749 Normandy Blvd Ste 147
Jacksonville, FL 32221-7658
Phone (904) 786-5579

Other practice location 3

190 Southpark Blvd Ste 100
St Augustine, FL 32086-4209
Phone (904) 824-1478

Other practice location 4

3901 University Blvd S
Jacksonville, FL 32216-4312
Phone (904) 345-7200

Other practice location 5

200 Southpark Blvd Ste 201
St Augustine, FL 32086-3129
Phone (904) 417-6236

Other practice location 6

500 Park Ave
Orange Park, FL 32073-3132
Phone (904) 278-7890

Other practice location 7

14286 Beach Blvd Ste 34
Jacksonville, FL 32250-1570
Phone (904) 345-7510

Other practice location 8

11705 San Jose Blvd Ste 111
Jacksonville, FL 32223-1653
Phone (904) 345-7450

Other practice location 9

3901 University Blvd S
Jacksonville, FL 32216-4312
Phone (904) 345-7210

Other practice location 10

10423 Centurion Pkwy N
Jacksonville, FL 32256-0527
Phone (904) 854-2090

Other practice location 11

104 Ashourian Ave Ste 105
St Augustine, FL 32092-5106
Phone (904) 230-7761

Other identifiers 1

IdentifierTypeStateIssuer
4443OtherFLFLORIDA LICENSE

Other names 3

  • Brooks Rehabilitation Doing business as
  • Brooks Rehabilitation Centers Doing business as
  • Brooks Rehabilitation Hospital 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 FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060327000312 FL Part A Provider - Hospital 4284664954 1 other NPI on this enrollment
Practice locations: Jacksonville, FL; St Augustine, FL; Saint Augustine, FL; Orange Park, FL
O20071026000121 FL Part B Supplier - Clinic/Group Practice 4284664954 Receives reassigned benefits from 10 practitioners
1 other NPI on this enrollment
Practice locations: Jacksonville, FL

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1912947748. Details of each certification follow.

Hospital certification: CCN 103039

Legal name
GENESIS REHABILITATION HOSPITAL, INC.
Doing business as
BROOKS REHABILITATION
Certification status
Active
Provider type (POS)
Hospital – Rehabilitation
Participating since
Jan 3, 1995
Last certification
Jun 17, 2019
Beds
170
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Sep 1, 1982 in FL
Enrollment address
3599 University S Blvd
Jacksonville, FL 32216-4252
Hospital Rehabilitation Unit
Hospital subgroups
Rehabilitation unit

Hospital certification: CCN 103029

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 REHABILITATION HOSPITAL
Certification status
Terminated Other: provider status change, May 1, 1994
Provider type (POS)
Hospital – Rehabilitation
Participating since
Oct 1, 1985
Last certification
Mar 4, 1993
Beds
143
Ownership / control type
Private (not for profit)
Most recent change of ownership
Dec 10, 1993 (1 total)
Facility address
3599 University Blvd S Box 16406
Jacksonville, FL 32216

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Brooks Rehabilitation Hospital University CampusCCN 103039 · All quality measures
Ownership
Non-profit
Certified
Jan 3, 1995
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Genesis Rehabilitation Hospital 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

14286 Beach Blvd
Ste 34
Jacksonville Beach, FL 32250
Phone (904) 345-7510

190 Southpark Blvd
Ste 100
St Augustine, FL 32086
Phone (904) 824-1478

Ownership & related parties

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, Non-profit 5% Or Greater Direct Ownership Interest Jun 9, 2017 100%
Douglas Baer Individual Corporate Director Mar 1, 2008
W-2 Managing Employee Mar 1, 2008
Jennifer Allen Individual W-2 Managing EmployeeDirector of Managed Care Feb 10, 2025
James Tabor Individual Corporate OfficerChief Financial Officer Feb 1, 2022
W-2 Managing EmployeeCfo Feb 1, 2022

Facilities with the same owner 5

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

Practitioners & affiliated clinicians

Practitioners 91

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.

View all 91

Affiliated clinicians 585

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

View all 585

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766448000000",
    "number": "1912947748",
    "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": "904-345-7600",
            "fax_number": "904-345-7284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "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"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1034 Dunn Ave",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322184830",
            "country_code": "US",
            "telephone_number": "904-757-1782",
            "fax_number": "904-757-9808",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7749 Normandy Blvd Ste 147",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322217658",
            "country_code": "US",
            "telephone_number": "904-786-5579",
            "fax_number": "904-854-2093",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "190 Southpark Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "320864209",
            "country_code": "US",
            "telephone_number": "904-824-1478",
            "fax_number": "904-824-8071",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3901 University Blvd S",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322164312",
            "country_code": "US",
            "telephone_number": "904-345-7200",
            "fax_number": "904-345-7240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Southpark Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "320863129",
            "country_code": "US",
            "telephone_number": "904-417-6236",
            "fax_number": "904-417-6024",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Orange Park",
            "state": "FL",
            "postal_code": "320733132",
            "country_code": "US",
            "telephone_number": "904-278-7890",
            "fax_number": "904-278-7762",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14286 Beach Blvd Ste 34",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322501570",
            "country_code": "US",
            "telephone_number": "904-345-7510",
            "fax_number": "904-345-7540",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11705 San Jose Blvd Ste 111",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322231653",
            "country_code": "US",
            "telephone_number": "904-345-7450",
            "fax_number": "904-345-7451",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3901 University Blvd S",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322164312",
            "country_code": "US",
            "telephone_number": "904-345-7210",
            "fax_number": "904-345-7255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10423 Centurion Pkwy N",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322560527",
            "country_code": "US",
            "telephone_number": "904-854-2090",
            "fax_number": "904-854-2093",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104 Ashourian Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "320925106",
            "country_code": "US",
            "telephone_number": "904-230-7761",
            "fax_number": "904-230-7763",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GENESIS REHABILITATION HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "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": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "FL",
            "license": "4443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA LICENSE",
            "identifier": "4443",
            "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",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brooks Rehabilitation Centers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brooks Rehabilitation Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.