Provider Demographics
NPI:1124338694
Name:PRAC HOLDINGS, INC.
Entity type:Organization
Organization Name:PRAC HOLDINGS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP NATIONAL CONTRACTS
Authorized Official - Prefix:
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:KUMARICH
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MS, MBA
Authorized Official - Phone:630-296-3400
Mailing Address - Street 1:2300 WARRENVILLE RD., STE 100
Mailing Address - Street 2:
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60515-1765
Mailing Address - Country:US
Mailing Address - Phone:630-296-3530
Mailing Address - Fax:
Practice Address - Street 1:516 E WISCONSIN AVE STE D
Practice Address - Street 2:
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54911-4864
Practice Address - Country:US
Practice Address - Phone:920-733-7890
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ADDUS HEALTHCARE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-10-18
Last Update Date:2018-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health