Provider Demographics
NPI:1659397016
Name:PRAC HOLDINGS, INC.
Entity Type:Organization
Organization Name:PRAC HOLDINGS, INC.
Other - Org Name:ARCADIA HOME CARE & STAFFING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SVP CHIEF STRATEGY OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:DARBY
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-296-3443
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 1:2600 AIRPORT RD STE A
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MI
Practice Address - Zip Code:49202-1238
Practice Address - Country:US
Practice Address - Phone:517-796-0971
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ADDUS HEALTHCARE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-15
Last Update Date:2023-03-21
Deactivation Date:2021-09-14
Deactivation Code:
Reactivation Date:2021-10-20
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIJ5039OtherBLUE CROSS