Organization
BROOKS HOME CARE ADVANTAGE, INC
Active
Other names
Brooks Rehabilitation Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JENI ALLEN (DIRECTOR OF MANAGED CARE)
(904) 345-7158
Entity
Organization
Contact information
Practice address
2730 US 1 S STE GANDH, ST AUGUSTINE, FL 32086-6341
(904) 722-1515
(904) 722-1517
Mailing address
3599 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4252
(904) 345-7607
(904) 345-7284
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
299991968
FL
251E00000X
Home Health Agency
299993282
FL
251E00000X
Home Health Agency
299993785
FL
251E00000X
Home Health Agency
299993789
FL
251E00000X
Home Health Agency
299993790
FL
251E00000X
Home Health Agency
299993791
FL
251E00000X
Home Health Agency
299993792
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7144812
AETNA PROVIDER NUMBER
FL
01
—
J9D
BC/BS PROVIDER NUMBER
FL
Enumeration date
06/12/2006
Last updated
12/23/2025
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