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NPI Code Detail

MEDICARE: PRAC HOLDINGS, INC.

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
1251E00000XHome Health Agency
2253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1588680243
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 : 611 GATEWAY BLVD, STE 120, OFFICE 230
Second Line :
City : SOUTH SAN FRANCISCO
State : CA
Zip : 94080-7066
Country : US
Telephone Number : 650-568-1629
Fax Number : 650-568-1643
Authorized Official
Title or Position : EVP, CHIEF STRATEGY OFFICER
Name : DARBY ANDERSON
Credential :
Telephone Number : 630-296-3443
Provider Enumeration Date : 07/15/2006
Last Update Date : 05/07/2025

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