Healthcare Provider Details

I. General information

NPI: 1972427094
Provider Name (Legal Business Name): NORTH SHORE SIGNATURE CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

91 LANCASTER RD
NORTH ANDOVER MA
01845-2147
US

IV. Provider business mailing address

1274 OSGOOD ST STE 200
NORTH ANDOVER MA
01845-1090
US

V. Phone/Fax

Practice location:
  • Phone: 978-852-9169
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. BORNADATA BAIN
Title or Position: OWNER/CEO
Credential: PHD
Phone: 978-852-9169