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General NPI Number Information
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NPI Number | 1982118170
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Entity Type | Organization
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Legal Business Name | BROOKS HOME CARE ADVANTAGE, INC.
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Dates
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Enumeration Date | 11/27/2017
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Last Update Date | 12/23/2025
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Provider Practice Location Address
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Address Line | 6871 BELFORT OAKS PL
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City | JACKSONVILLE
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State | FL
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Zip | 32216-6242
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Country | US
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Telephone | 904-722-1515
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Fax |
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Provider Business Mailing Address
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Address Line | 5836 RICHARD ST
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City | JACKSONVILLE
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State | FL
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Zip | 32216-5925
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Country | US
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Telephone | 904-722-1515
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF MANAGED CARE
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Name | JENI ALLEN
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Credential |
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Telephone | 904-345-7158
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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