Organization Active NPI

Grattan Private Duty Nursing

  • Home Health Agency
  • Brainerd, MN
National Provider Identifier
1821365537
Registry record updated Nov 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
355308 Issued in MN
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

Updated by the provider on Nov 23, 2011

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)CodeLicenseStatePrimary
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2035188Grattan Private Duty Nursing8382 50TH Avenue, Brainerd, MN 56401Certificate of waiverJan 11, 2028

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.