PRAC HOLDINGS, INC. (NPI# 1003832676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003832676 |
| Entity Type | Organization |
| Organization Name | PRAC HOLDINGS, INC. |
| Practice Address |
4040 Civic Center Dr # 29 San Rafael CA 94903-4150 |
| Mailing Address |
2300 Warrenville Rd., Ste 100 Downers Grove IL 60515-1765 |
| Practice Telephone | 4154991220 |
| Mailing Telephone | 6302963530 |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2019-04-29 |
| Authorized Official Name | DIANE KUMARICH (VP NATIONAL CONTRACTS) |
| Authorized Official Telephone | 6302963400 |
| Authorized Official Credential | RN, MS, MBA |
| Is Organization Subpart | Y |
| Parent Organization Name | ADDUS HEALTHCARE INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124338694 | Prac Holdings, Inc. | Home Health | 516 E Wisconsin Ave Ste D, Appleton, WI 54911-4864 | 2010-10-18 |
| 1366608754 | Prac Holdings, Inc. | Home Health | 2350 Belmont Ctr Dr Ne Ste 400, Belmont, MI 49306-8702 | 2008-08-05 |
| 1528084985 | Prac Holdings, Inc. | Home Health | 669 Romence Rd, Portage, MI 49024-3446 | 2006-07-15 |
| 1295751667 | Prac Holdings, Inc. | Home Health | 920 E Maple Rd, Birmingham, MI 48009-6403 | 2006-07-15 |
| 1851317283 | Prac Holdings, Inc. | Home Health | 1956 Mall Place, Benton Harbor, MI 49022-2332 | 2006-07-15 |
| 1588680243 | Prac Holdings, Inc. | Home Health | 670 Woodside Rd, Redwood City, CA 94061-3848 | 2006-07-15 |
| 1841216470 | Prac Holdings, Inc. | Home Health | 735 Street Rd Unit 3, Southampton, PA 18966-3988 | 2006-07-15 |
| 1316963945 | Prac Holdings, Inc. | Home Health | 4887 William Penn Hwy, Murrysville, PA 15668-2008 | 2006-07-15 |
| 1043236474 | Prac Holdings, Inc. | Home Health | 255 Seminole Rd Ste 102, Norton Shores, MI 49444-3758 | 2006-07-15 |
| 1093731655 | Prac Holdings, Inc. | Home Health | 1090 E Cypress Ave Ste B, Redding, CA 96002-1163 | 2006-07-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PRAC HOLDINGS, INC. | 2300 Warrenville Rd Ste 100, Downers Grove, IL 60515-1717 |
| Washington State Corporations | PRAC HOLDINGS, INC. | 2300 Warrenville Rd Ste 100, Downers Grove, IL 60515-1717 |
| Connecticut Business Registrations | PRAC HOLDINGS, INC. | 2300 Warrenville Rd, Suite 100, Downers Grove, IL 60515 |
| Street Address |
4040 CIVIC CENTER DR # 29 |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94903-4150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467089524 | Christopher Sazo | Counselor | 1 St. Vincents Drive, San Rafael, CA 94903 | 2020-03-26 |
| 1134769482 | Katherine Sieger | Music Therapist | 400 Civic Center Dr. #300, San Rafael, CA 94903 | 2020-01-14 |
| 1679064836 | California In Home Care & Registry, Inc | In Home Supportive Care | 14b Mitchell Blvd, Suite B, San Rafael, CA 94903 | 2018-05-23 |
| 1922557586 | Helen Elizabeth Shamis | Marriage & Family Therapist | 30 North San Pedro, Suite #265, Beyond Hunger, San Rafael, CA 94903 | 2016-09-23 |
| 1033572771 | Henry Colbert | Counselor | 1 St. St. Vincent Drive, San Rafael, CA 94903 | 2016-03-31 |
| 1659736924 | Robyn Bloom | Marriage & Family Therapist | 4 Joseph Court, San Rafael, CA 94903 | 2015-12-30 |
| 1851760565 | Cheryl Clementson | Substance Abuse Rehabilitation Facility | 301 Smith Ranch Road, San Rafael, CA 94903 | 2015-09-23 |
| 1588043731 | Chelsea Cooney | Counselor | 1 St. Vincent's Drive, San Rafael, CA 94903 | 2015-05-20 |
| 1083002315 | Kaiser Permanente | Psychiatric Unit | 111 Smith Ranch Road, Kaiser Permanente, San Rafael, CA 94903 | 2015-01-09 |
| 1366857856 | Travel Well Corporation | Preventive Medicine | 28 Mitchell Blvd, San Rafael, CA 94903 | 2014-06-24 |
| Find all providers in zip 94903 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902307895 | Juhne Cares LLC | Home Health | 4040 Civic Center Dr Ste 200, San Rafael, CA 94903-4187 | 2018-02-26 |
| 1205367562 | Rachel Von Doepp Cd, Cle | Home Health | 60 Clark St, San Rafael, CA 94901-3654 | 2017-03-27 |
| 1992152151 | Cj Frontline, LLC | Home Health | 101 Lucas Valley Rd, Suite 236, San Rafael, CA 94903-1791 | 2016-05-18 |
| 1548527971 | Health Care Connection | Home Health | 1363 Lincoln Ave Ste 4, San Rafael, CA 94901-2124 | 2012-04-23 |
| 1992019350 | Loving Care To You | Home Health | 7 Mount Lassen Dr, Suite D-116, San Rafael, CA 94903-1148 | 2010-07-28 |
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|---|---|---|---|---|
| 1316548225 | Natalie Deanne Moreno | Home Health | 42 W Campbell Ave Ste 101, Campbell, CA 95008-1042 | 2020-11-06 |
| 1174124994 | Soul Care Home Health | Home Health | 21243 Ventura Blvd Ste 235, Woodland Hills, CA 91364-2113 | 2020-11-06 |
| 1942801840 | Integrated Home Health Care Inc | Home Health | 6354 Van Nuys Blvd Ste 101, Van Nuys, CA 91401-2601 | 2020-11-06 |
| 1265033062 | Cityrose Home Health Services Inc. | Home Health | 2107 W Manchester Ave Ste 206, Los Angeles, CA 90047-2953 | 2020-11-06 |
| 1588265441 | Tender Home Health | Home Health | 17031 Chatsworth St Ste 201, Granada Hills, CA 91344-5883 | 2020-11-05 |
| 1417558644 | Assure Home Health Care | Home Health | 217 N Verdugo Rd Apt D, Glendale, CA 91206-5237 | 2020-11-04 |
| 1467053579 | Renewed Home Health, Inc. | Home Health | 1965 Yosemite Drive #110, Simi Valley, CA 93063 | 2020-11-04 |
| 1184225203 | Burbank City Home Health, Inc | Home Health | 2000 W Magnolia Blvd Ste 205, Burbank, CA 91506-1707 | 2020-11-04 |
| 1851992267 | Galaxy Home Health | Home Health | 13647 Vanowen St Ste C, Van Nuys, CA 91405-4262 | 2020-11-03 |
| 1053912436 | Adonai Home Health Care | Home Health | 1010 N Central Ave # 410, Glendale, CA 91202-2937 | 2020-11-03 |
| Find all providers with the same taxonomy | ||||
| City | SAN RAFAEL |
| Zip Code | 94903 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.