Brooks Rehabilitation Home Health – Home Health Agency, NPI 1184895740

Brooks Rehabilitation Home Health is a healthcare provider. based in St augustine, Florida. specializing in Home Health Agency. The organization holds a License No. 299991243 (FL). The NPI Number for Brooks Rehabilitation Home Health is 1184895740

Main info

Organization
Name
Brooks Rehabilitation Home Health
NPI
1184895740
Phone
(904) 797-2334
Address
190 Southpark Blvd Ste 102
Authorized Official
JENI ALLEN DIRECTOR OF MANAGED CARE
Enumeration Date
21 March 2008
Last Update Date
23 December 2025

Contacts

Main Contact
https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness100
Years active:18State licenses:17/7 NPPES fields on file

Provider Addresses for Brooks Rehabilitation Home Health

  • 190 Southpark Blvd Ste 102

    St Augustine, FL 320864209

    Phone: (904) 797-2334

    Fax: (904) 547-2194

    Type: Location

  • 1699 S 14th St Ste 12

    Fernandina Beach, FL 320341964

    Phone: (904) 261-5000

    Fax: (904) 310-9049

    Type: Location

  • 1409 Kingsley Ave Ste 1A

    Orange Park, FL 320734532

    Phone: (904) 269-4445

    Fax: (904) 579-4386

    Type: Location

  • Brooks Rehabilitation Hospital, 3599, University Boulevard South, Englewood, Jacksonville, Duval County, Florida, 32216, United States

    JACKSONVILLE, FL 322164252

    Phone: (904) 345-7291

    Fax: (904) 345-7284

    Type: Mailing

  • Corporate Center Parkway, Jacksonville, Duval County, Florida, 32217, United States

    JACKSONVILLE, FL 322168091

    Phone: (904) 722-1515

    Fax: (904) 722-1517

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-06-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-10-31 (590 days ago).

Enrollment records

2

Earliest due date

2024-10-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20081105000315OHome Health AgencyFL2024-10-31
O20210618002207OHome Health AgencyFLTBD

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32086)

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Reviews

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Frequently asked questions

What is Brooks Rehabilitation Home Health's NPI number?
Brooks Rehabilitation Home Health's NPI is 1184895740 — the number used across U.S. healthcare to identify this provider.
Would Brooks Rehabilitation Home Health appear as active to a payer?
You can treat Brooks Rehabilitation Home Health as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with Brooks Rehabilitation Home Health?
Brooks Rehabilitation Home Health's record emphasizes Home Health Agency. Clinical services aligned with this taxonomy classification.
Is Brooks Rehabilitation Home Health associated with St Augustine?
Public fields place Brooks Rehabilitation Home Health around St Augustine, Florida. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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