Baraka House

LBN: Baraka House Llc
Baraka House is an health care organization with primary practice located at 13619 N 36Th Ave , Phoenix AZ 85029-1103. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living, Mental Illness, which is considered as the primary health care specialty. Baraka House Llc can be contacted via phone (602) 824-9100, or through Okorie, Victor via phone (602) 524-0824.

Contact Information

Primary practice address
13619 N 36Th Ave Phoenix AZ 85029-1103
Phone: (602) 824-9100
Fax: (602) 249-8900
Website:
Map and Directions
Authorized official contact:
Name: Okorie, Victor M.A., PH.D., LPC
Phone: (602) 524-0824

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living, Mental Illness 3104A0625X BH 3059 Arizona

Profile Details

NPI number 1104084383
LBN Legal business name Baraka House Llc
DBA Doing business as Baraka House
Authorized official Okorie, Victor M.A., PH.D., LPC
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2008
Last updated Apr 13th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104084383 NPPES
Arizona Other BH 3059 AZ OBHL

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