Baraka House LLC
NPI 1104084383 · Assisted Living Facility (Mental Illness) · Phoenix, AZ
Baraka House LLC is a Assisted Living Facility (Mental Illness) organization in Phoenix, AZ (NPI 1104084383).
Provider details
- NPI number
- 1104084383
- Entity type
- Organization
- Primary specialty
- Assisted Living Facility (Mental Illness)Nursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Victor Okorie, Director(602) 524-0824
- License
- BH 3059 (AZ)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Baraka House
Registry dates
- Enumerated
- 2008-05-24
- Last updated
- 2022-04-13
- Certified
- 2022-04-07
Frequently asked questions
- What is Baraka House LLC's NPI number?
- Baraka House LLC's National Provider Identifier (NPI) is 1104084383, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Baraka House LLC?
- Baraka House LLC is classified in the NPPES registry as Assisted Living Facility (Mental Illness) (Nursing & Custodial Care Facilities).
- Where is Baraka House LLC located?
- Baraka House LLC's practice location on file with NPPES is 13619 N 36th Ave, Phoenix, AZ 85029-1103.
- What is Baraka House LLC's phone number?
- The practice phone number listed in the NPPES registry for Baraka House LLC is (602) 824-9100.
- Who is the authorized official for Baraka House LLC?
- The authorized official listed on Baraka House LLC's NPPES record is Victor Okorie, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Baraka House LLC's NPI active?
- Yes — Baraka House LLC's NPI (1104084383) is active in the NPPES registry as of the last update on 2022-04-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.