Provider Demographics
NPI:1558882050
Name:MORRIS, BRENDA (CERTIFIED HHA)
Entity Type:Individual
Prefix:
First Name:BRENDA
Middle Name:
Last Name:MORRIS
Suffix:
Gender:F
Credentials:CERTIFIED HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 MYRTLE ST
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:MA
Mailing Address - Zip Code:02478-3004
Mailing Address - Country:US
Mailing Address - Phone:617-407-8326
Mailing Address - Fax:
Practice Address - Street 1:378 WARD ST
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02459-1217
Practice Address - Country:US
Practice Address - Phone:617-335-8712
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-05
Last Update Date:2017-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No253Z00000XAgenciesIn Home Supportive Care
No372600000XNursing Service Related ProvidersAdult Companion