Active NPI
Mirella Loures
- Home Health Aide
- Brockton, MA
National Provider Identifier
1164845129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- A
- Practice address
- 98 Florence St
Brockton, MA 02301-6107 - Phone
- (508) 857-6149
- NPI assigned
- Jan 28, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | A | MA | Primary |
Addresses
Primary practice location
98 Florence St
Brockton, MA 02301-6107
Mailing address
98 Florence St
Brockton, MA 02301-6107
Phone (508) 857-6149
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A | MA | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1164845129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "98 FLORENCE ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023016107",
"telephone_number": "508-857-6149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98 FLORENCE ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023016107",
"telephone_number": "508-857-6149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOURES",
"first_name": "MIRELLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-28",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "MA",
"license": "A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.