Healthcare Provider Details

I. General information

NPI: 1093810244
Provider Name (Legal Business Name): GRATTAN HEALTH CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2006
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 WASHINGTON ST
BRAINERD MN
56401
US

IV. Provider business mailing address

21 WASHINGTON ST
BRAINERD MN
56401
US

V. Phone/Fax

Practice location:
  • Phone: 218-820-1326
  • Fax: 218-825-0144
Mailing address:
  • Phone: 218-820-1326
  • Fax: 218-825-0144

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WA2000X
TaxonomyAdministrator Registered Nurse
License Number787620300
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number787620300
License Number StateMN
# 3
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number787620300
License Number StateMN
# 4
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number787620300
License Number StateMN

VIII. Authorized Official

Name: MS. STACI JO GRATTAN
Title or Position: PRESIDENT/OWNER
Credential:
Phone: 218-820-1326