Baraka House

LBN: Baraka House Llc
Baraka House is an health care organization with primary practice located at 7445 W Cheryl Dr , Peoria AZ 85345-6722. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living, Mental Illness, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness. Nursing & Custodial Care Facilities / Assisted Living, Mental Illness is the primary health care specialty. Baraka House Llc can be contacted via phone (623) 878-0463, or through Okorie, Victor via phone (602) 524-0824.

Contact Information

Primary practice address
7445 W Cheryl Dr Peoria AZ 85345-6722
Phone: (623) 878-0463
Fax: (623) 878-0463
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
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X BH4229 Arizona

Profile Details

NPI number 1356780563
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 Jun 20th, 2013
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 1356780563 NPPES
Arizona Other BH4229 BEHAVIORAL HEALTH LICENSE

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