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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GRAND BRIDGE HOME CARE
NPI 1417829409
Clinical Nurse Specialist - Home Health in Beverly, MA

Active since September 19, 2025
500 CUMMINGS CTR STE 6500, BEVERLY, MA 01915(617) 729-6827(617) 741-3687 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 16, 2026, Sep 19, 2025 (2 updates tracked since 2025).

About Grand Bridge Home Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRAND BRIDGE HOME CARE (NPI 1417829409) is a healthcare organization registered as a home health in Beverly, Massachusetts and active in the NPI registry since September 2025. The organization lists Mikerline Dor, Ceo, as its authorized official.

NPPES Registry Identity

NPI1417829409
Entity TypeOrganization
Primary Taxonomy364SH0200X
Legal Business NameGRAND BRIDGE HOME CARE
Location Address500 CUMMINGS CTR STE 6500Beverly, MA 01915-6234
Mailing Address500 Cummings Ctr Ste 6500Beverly, MA 01915-6234 · (617) 729-6827 · Fax (617) 801-8018
Phone(617) 729-6827
Fax(617) 741-3687
Organization SubpartNo
Authorized OfficialMikerline DorCeo · (617) 729-6827
Enumeration DateSeptember 19, 2025
Last NPPES UpdateJuly 16, 20262 updates tracked since enumeration
NPPES CertifiedJuly 16, 2026
✔ NPI 1417829409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Home HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SH0200X
500 CUMMINGS CTR STE 6500, Beverly, MA 01915
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

G&L HOMECARE SERVICES LLC
In Home Supportive Care
500 CUMMINGS CTR STE 6500
BEVERLY, MA 01915
Essex County (781) 731-5173
MRS. DEIRDRE HURLEY PUTNAM LICSW
Social Worker (Clinical)
500 CUMMINGS CTR STE 6500
BEVERLY, MA 01915
Essex County (978) 236-1763
PHASES OF THERAPY LLC
Counselor
500 CUMMINGS CTR STE 6500
BEVERLY, MA 01915
Essex County (978) 219-9032
SARAH LEONIDO HOWARD PHARMD
Pharmacist
500 CUMMINGS CTR STE 6500
BEVERLY, MA 01915
Essex County (978) 712-1723

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grand Bridge Home Care's NPI number?

The NPI number for Grand Bridge Home Care is 1417829409. It was assigned to this organization in the NPPES registry on September 19, 2025.

Where is Grand Bridge Home Care located?

Grand Bridge Home Care is located at 500 Cummings Ctr Ste 6500, Beverly, MA 01915. The listed phone number is (617) 729-6827.

What is Grand Bridge Home Care's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Home Health, with taxonomy code 364SH0200X.

When was this NPI record last updated?

The NPPES record for Grand Bridge Home Care was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.