NPIMap

Organization Active NPI

Prac Holdings, Inc.

  • Home Health Agency
  • Appleton, WI
National Provider Identifier
1124338694
Registry record updated Apr 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PRAC HOLDINGS, INC.
Practice address
516 E Wisconsin Ave Ste D
Appleton, WI 54911-4864
Phone
(920) 733-7890
NPI assigned
Oct 18, 2010
Organization subpart
Yes
Parent organization
ADDUS HEALTHCARE INCAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Diane Kumarich, RN, MS, MBA
Title
VP National Contracts
Phone
(630) 296-3400

Corporate family (same tax ID) 21

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

National Provider Directory
Tax ID family
Arcadia Home Care Staffing (22 organizations share this tax ID)
Part of
Addus Healthcare Inc

Locations

516 E Wisconsin Ave
Ste D
Appleton, WI 54911
Phone (920) 733-7890

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

516 E Wisconsin Ave Ste D
Appleton, WI 54911-4864

Mailing address

2300 Warrenville Rd., Ste 100
Downers Grove, IL 60515-1765
Phone (630) 296-3530

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 16, 2018.

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523836800000",
    "number": "1124338694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 WARRENVILLE RD., STE 100",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151765",
            "telephone_number": "630-296-3530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 E WISCONSIN AVE STE D",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549114864",
            "telephone_number": "920-733-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAC HOLDINGS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADDUS HEALTHCARE INC",
        "enumeration_date": "2010-10-18",
        "last_updated": "2018-04-16",
        "status": "A",
        "authorized_official_last_name": "KUMARICH",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "VP NATIONAL CONTRACTS",
        "authorized_official_telephone_number": "630-296-3400",
        "authorized_official_credential": "RN, MS, MBA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.