BARAKA HOUSE
NPI 1104084383
Assisted Living Facility - Assisted Living, Mental Illness in Phoenix, AZ
- Organization
- Assisted Living Facility
- Assisted Living, Mental Illness
About BARAKA HOUSE
This page provides the complete NPI Profile along with additional information for Baraka House, a provider established in Phoenix, Arizona operating as a Assisted Living Facility, focusing in assisted living, mental illness . The healthcare provider is registered in the NPI registry with number 1104084383 assigned on May 2008. The practitioner's primary taxonomy code is 3104A0625X with license number BH 3059 (AZ). The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Baraka House. The authorized official of this NPI record is Dr. Victor Okorie M.a., Ph.d., Lpc (Director)
- NPI
- 1104084383 Verify this NPI
- Provider Legal Name
- BARAKA HOUSE LLC
- Other Organization Name
- BARAKA HOUSE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 13619 N 36TH AVE PHOENIX, AZ 85029
- Location Phone
- (602) 824-9100
- Location Fax
- (602) 249-8900
- Mailing Address
- 10000 N 31ST AVE STE A107 PHOENIX, AZ 85051
- Mailing Phone
- (602) 441-2388
- Mailing Fax
- (800) 524-0824
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-24-2008
- Last Update Date
- 04-13-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Assisted Living Facility Assisted Living, Mental Illness
- Taxonomy Code
- 3104A0625X
- Type
- Nursing & Custodial Care Facilities
- License No.
- BH 3059
- License State
- AZ
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| BH 3059 | OTHER (01) | AZ | AZ OBHL |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104084383, enumerated as an "organization" on May 24, 2008.
The provider is located at 13619 N 36TH AVE PHOENIX, AZ 85029 and the phone number is (602) 824-9100.
Assisted Living Facility with taxonomy code 3104A0625X and a focus in Assisted Living, Mental Illness.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
