MEDICARE: PRAC HOLDINGS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	220000320	CA
2	253Z00000X	In Home Supportive Care Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	5577580	OTHER	CA	BLUE CROSS OF CALIFORNIA
3	ZZZ03607Z	OTHER	CA	BLUE SHIELD OF CALIFORNIA

General Provider Information

NPI Number	:	1902821929
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRAC HOLDINGS, INC.

Provider Business Mailing Address
First Line	:	801 WARRENVILLE RD STE 800
Second Line	:
City	:	LISLE
State	:	IL
Zip	:	60532-0912
Country	:	US
Telephone Number	:	630-296-3400
Fax Number	:	630-487-2713

Provider Business Practice Location Address
First Line	:	1388 SUTTER STREET
Second Line	:	STE. 904
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94109-5438
Country	:	US
Telephone Number	:	415-474-1468
Fax Number	:	415-474-1985

Authorized Official
Title or Position	:	EVP, CHIEF STRATEGY OFFICER
Name	:	DARBY ANDERSON
Credential	:
Telephone Number	:	630-296-3443

Provider Enumeration Date	:	07/12/2006
Last Update Date	:	05/07/2025

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Directions to “PRAC HOLDINGS, INC. ” Practice Location

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