Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Baraka House LLC

Organization Assisted Living Facility (Mental Illness) · NPI 1104084383

Baraka House LLC is an Assisted Living Facility (Mental Illness) in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2008.

Licensed in
AZ
In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13619 N 36th Ave
Phoenix, AZ 85029-1103
Phone: (602) 824-9100
Fax: (602) 249-8900
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (Mental Illness) (primary) Taxonomy 3104A0625X · Licence BH 3059 (AZ)

Record details

NPI number1104084383
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Victor Okorie — Director · (602) 524-0824
Other names Baraka House
NPI enumeratedMay 24, 2008
Last updated in NPPESApril 13, 2022
Certification dateApril 7, 2022
Mailing address10000 N 31st Ave Ste A107, Phoenix, AZ 85051-9582

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