Healthcare Provider Details

I. General information

NPI: 1295751667
Provider Name (Legal Business Name): PRAC HOLDINGS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2006
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

920 E MAPLE RD
BIRMINGHAM MI
48009-6403
US

IV. Provider business mailing address

801 WARRENVILLE RD STE 800
LISLE IL
60532-0912
US

V. Phone/Fax

Practice location:
  • Phone: 248-594-4574
  • Fax:
Mailing address:
  • Phone: 630-296-3530
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: DARBY ANDERSON
Title or Position: EVP CHIEF STRATEGY OFFICER
Credential:
Phone: 630-296-3443