Baraka House

LBN: Baraka House
Baraka House is an health care organization with primary practice located at 3740 W Caron St , Phoenix AZ 85051-3340. 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 can be contacted via phone (602) 249-8900, or through Okorie, Victor via phone (602) 524-0824.

Contact Information

Primary practice address
3740 W Caron St Phoenix AZ 85051-3340
Phone: (602) 249-8900
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 BH2753 Arizona

Profile Details

NPI number 1609079235
LBN Legal business name Baraka House
DBA Doing business as Baraka House
Authorized official Okorie, Victor M.A., PH.D., LPC
Entity Organization
Organization subpart 1 No
Enumeration date Jun 10th, 2007
Last updated Apr 13th, 2022 - about 2 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 1609079235 NPPES
Arizona Other BH2753 BEHAVIORAL HEALTH LICENSE
Arizona MEDICAID 114301 BEHAVIORAL HEALTH LICENSE

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