Baraka House in Phoenix - Assisted Living, Mental Illness
Baraka House - NPI 1609079235
Baraka House is a Assisted Living, Mental Illness in Phoenix, Arizona. Baraka House practices all healthcare services and medical treatments related to Assisted Living, Mental Illness. The NPI Number for Baraka House is 1609079235. The last update date is 2022-04-13.
Baraka House's current location address is 10000 N 31st Ave Ste A107, Phoenix, Arizona. You can contact this provider via phone number 6024412388 and fax number 8005240824. The mailing address for Baraka House is 10000 N 31st Ave Ste A107, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Baraka House |
|---|---|
| Address | 10000 N 31st Ave Ste A107, Phoenix, Arizona |
| Phone Number | 6024412388 |
| Fax Number | 8005240824 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Okorie Victor |
| Credentials | M.A., PH.D |
| Telephone Number | 6025240824 |
NPI Number Detail
| NPI Number | 1609079235 |
|---|---|
| Provider Enumeration Date | 2007-06-10 |
| Last Updated Date | 2022-04-13 |
Provider Mailing Address Detail
| Address | 10000 N 31st Ave Ste A107 |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850519582 |
| Phone Number | 6024412388 |
| Fax Number | 8005240824 |
Provider's Primary Taxonomy Detail
| Speciality | Assisted Living, Mental Illness |
|---|---|
| Taxonomy | 3104A0625X |
| Licence No | BH2753 |
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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 w |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| BH2753 | AZ | BEHAVIORAL HEALTH LICENSE | |
| 114301 | AZ | -- |
Post Comment/ Review Below
What is the Baraka House's unique identification number?
The Baraka House has been assigned the NPI (National Provider Identifier) Number 1609079235 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Baraka House's facilities are situated?
The facilities of Baraka House are physically located at the following address: 10000 N 31St Ave Ste A107, Phoenix, AZ, 850519582.
What is Baraka House's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Baraka House is Assisted Living, Mental Illness, and the corresponding taxonomy classification code for this specialized field is 3104A0625X.
On what date did Baraka House receive its 1609079235 assignment from the Centers for Medicare & Medicaid Services?
The Baraka House was assigned its 1609079235 on 2007-06-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Baraka House most recently updated or refreshed?
The details pertaining to the Baraka House, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-04-13.
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