GRATTAN PRIVATE DUTY NURSING NPI 1821365537

Home Health in Brainerd, MN

NPI 1821365537 Organization Home Health CLIA Number 24D2035188 CLIA Certificate of Waiver

NPI Profile for GRATTAN PRIVATE DUTY NURSING

Grattan Private Duty Nursing is a provider established in Brainerd, Minnesota specializing in home health. The NPI number of Grattan Private Duty Nursing is 1821365537 and was assigned on November 2011. The practitioner's primary taxonomy code is 251E00000X with license number 355308 (MN). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Staci Jo Grattan (Owner)

The CLIA number of Grattan Private Duty Nursing is 24D2035188 registered as a "home health agency" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Grattan Private Duty Nursing to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI

1821365537

Provider NameGRATTAN PRIVATE DUTY NURSING
Provider Location Address8382 50TH AVE BRAINERD, MN 56401
Provider Mailing AddressPO BOX 976 BRAINERD, MN 56401
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date11-23-2011
Last Update Date11-23-2011


Primary Taxonomy

Taxonomy Code251E00000X
ClassificationHome Health
TypeAgencies
License No.355308
License StateMN
Taxonomy DescriptionA public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Business Address

GRATTAN PRIVATE DUTY NURSING
8382 50TH AVE
BRAINERD, MN
ZIP 56401
Phone: (218) 820-1326
Fax: (218) 825-4825

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Mailing Address

GRATTAN PRIVATE DUTY NURSING
PO BOX 976
BRAINERD, MN
ZIP 56401
Phone: (218) 820-1326
Fax: (218) 825-4825



Authorized Official

Authorized Official Name STACI JO GRATTAN
Authorized Official TitleOWNER
Authorized Official Phone(218) 820-1326

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1821365537 is:

CLIA Number24D2035188
Facility TypeHOME HEALTH AGENCY
Certificate TypeCertificate of Waiver

NPI Validation Check Digit Calculation


The following table explains step by step the NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1821365537
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2841661056
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 4 + 1 + 6 + 6 + 1 + 0 + 5 + 6 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1821365537 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Grattan Private Duty Nursing is registered as an entity type code: 2. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.