BARAKA HOUSE
NPI 1104084383
Assisted Living Facility - Assisted Living, Mental Illness in Phoenix, AZ

Q: What is Baraka House LLC's NPI number?

The NPI number for Baraka House LLC is 1104084383. It was assigned to this organization in the NPPES registry on May 24, 2008. The provider is doing business as Baraka House.

Q: What is Baraka House LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

Q: When was this NPI record last updated?

The NPPES record for Baraka House LLC was last updated on April 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 24, 2008

13619 N 36TH AVE, PHOENIX, AZ 85029(602) 824-9100(602) 249-8900 Get Directions Write a Review

NPPES record last updated: April 13, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Baraka House NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BARAKA HOUSE (NPI 1104084383) is a healthcare organization registered as an assisted living, mental illness in Phoenix, Arizona and active in the NPI registry since May 2008. The organization lists Victor Okorie, Director, as its authorized official.

NPPES Registry Identity

NPI1104084383

Entity TypeOrganization

Primary Taxonomy3104A0625X

Legal Business NameBARAKA HOUSE LLC

Location Address13619 N 36TH AVEPhoenix, AZ 85029-1103

Mailing Address10000 N 31st Ave Ste A107Phoenix, AZ 85051-9582 · (602) 441-2388 · Fax (800) 524-0824

Phone(602) 824-9100

Fax(602) 249-8900

Organization SubpartNo

Authorized OfficialVictor OkorieDirector · (602) 524-0824

Enumeration DateMay 24, 2008

Last NPPES UpdateApril 13, 2022

NPPES CertifiedApril 7, 2022

✔ NPI 1104084383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities

Taxonomy Code3104A0625X

License✔ Licensed in AZ · BH 3059

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

13619 N 36TH AVE, Phoenix, AZ 85029

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Other Names 1

Doing Business AsBaraka House

Other Identifiers 1

OtherBH 3059AZ · Az Obhl

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Baraka House LLC's NPI number?

The NPI number for Baraka House LLC is 1104084383. It was assigned to this organization in the NPPES registry on May 24, 2008. The provider is doing business as Baraka House.

Where is Baraka House LLC located?

Baraka House LLC is located at 13619 N 36th Ave, Phoenix, AZ 85029. The listed phone number is (602) 824-9100.

What is Baraka House LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for Baraka House LLC was last updated on April 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.