Active NPI
Grattan Private Duty Nursing
- Home Health Agency
- Brainerd, MN
National Provider Identifier
1821365537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 355308
- Legal business name
- GRATTAN PRIVATE DUTY NURSING
- Practice address
- 8382 50TH Ave
Brainerd, MN 56401-1665 - Phone
- (218) 820-1326
- Fax
- (218) 825-4825
- NPI assigned
- Nov 23, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Staci Jo Grattan
- Title
- Owner
- Phone
- (218) 820-1326
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 355308 | MN | Primary |
Addresses
Primary practice location
8382 50TH Ave
Brainerd, MN 56401-1665
Mailing address
PO Box 976
Brainerd, MN 56401-0976
Phone (218) 820-1326
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D2035188 | Grattan Private Duty Nursing | Certificate of waiver | Jan 11, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1322006400000",
"number": "1821365537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 976",
"city": "BRAINERD",
"state": "MN",
"postal_code": "564010976",
"telephone_number": "218-820-1326",
"fax_number": "218-825-4825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8382 50TH AVE",
"city": "BRAINERD",
"state": "MN",
"postal_code": "564011665",
"telephone_number": "218-820-1326",
"fax_number": "218-825-4825"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRATTAN PRIVATE DUTY NURSING",
"organizational_subpart": "NO",
"enumeration_date": "2011-11-23",
"last_updated": "2011-11-23",
"status": "A",
"authorized_official_last_name": "GRATTAN",
"authorized_official_first_name": "STACI",
"authorized_official_middle_name": "JO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "218-820-1326"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MN",
"license": "355308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brainerd, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.