Grettum Care LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

GRETTUM CARE LLC

Doing business as

Grettum Care

Practice address

6336 Josephine Ave
Edina, MN 55439-1421

Phone

(952) 208-5580

Fax

(952) 208-5580

NPI assigned

Sep 21, 2024

Organization subpart

No

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

Authorized official

Name

Cole Grettum

Title

Ceo

Phone

(952) 208-5580

Specialties & licenses 1

Addresses

Other names 1

• Grettum Care Doing business as

Locations

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

{
    "created_epoch": "1726876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1366269474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 N CEDAR AVE # 1",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550602306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6336 JOSEPHINE AVE",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554391421",
            "telephone_number": "952-208-5580",
            "fax_number": "952-208-5580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRETTUM CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-21",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "GRETTUM",
        "authorized_official_first_name": "COLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "952-208-5580"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grettum Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grettum Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark Edward Greenwood, DDS
• Anders Gregerson
• Tyler Joseph Gregory, PT, DPT
• Victoria Lynn Gregory
• Sandra Jean Gress, PT, DPT, OCS
• Caitlin Elizabeth Griffin
• Patty Ann Griffith, LP
• Brantley M Grimball, MD
• Ronald D Groat, MD
• Beth Renee Groenke, DDS, MS

• Community/Behavioral Health Agency in Edina, MN
• Providers in Edina, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.