Organization Active NPI

Grand Bridge Home Care

  • Home Health Aide
  • Beverly, MA
National Provider Identifier
1417829409
Registry record updated Aug 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
GRAND BRIDGE HOME CARE
Practice address
500 Cummings Ctr Ste 6500
Beverly, MA 01915-6234
Phone
(617) 729-6827
Fax
(888) 741-3687
NPI assigned
Sep 19, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mikerline Dor
Title
Administrator
Phone
(617) 729-6827

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193400000X SINGLE SPECIALTY GROUP 374U00000X Primary

Addresses

Primary practice location

500 Cummings Ctr Ste 6500
Beverly, MA 01915-6234

Mailing address

500 Cummings Ctr Ste 6500
Beverly, MA 01915-6234
Phone (617) 729-6827

National Provider Directory

National Provider Directory

Locations

240 Elm St
Fl 2
Somerville, MA 02144
Phone (617) 339-9070

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1758240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786752000000",
    "number": "1417829409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CUMMINGS CTR STE 6500",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156234",
            "telephone_number": "617-729-6827",
            "fax_number": "888-741-3687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CUMMINGS CTR STE 6500",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156234",
            "telephone_number": "617-729-6827",
            "fax_number": "888-741-3687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND BRIDGE HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-19",
        "last_updated": "2026-08-15",
        "certification_date": "2026-08-15",
        "status": "A",
        "authorized_official_last_name": "DOR",
        "authorized_official_first_name": "MIKERLINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "617-729-6827"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.