OrganizationActive
Baraka House LLC
NPI 1396145694 · Assisted Living Facility (Mental Illness) · Phoenix, AZ
Provider details
- NPI number
- 1396145694
- Entity type
- Organization
- Primary specialty
- Assisted Living Facility (Mental Illness)Nursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Victor Okorie, Owner/Director(602) 524-0824
- License
- BH4472 (AZ)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Residential Treatment Facilities
Practice location
3302 W Mescal St
Phoenix, AZ 85029-4114
Phone: (602) 595-7871
Approximate (ZIP-level) locationGet directions
Mailing address
10000 N 31st Ave Ste A107
Phoenix, AZ 85051-9582
Other names (DBA / former)
- Doing business as
- Baraka House
Registry dates
- Enumerated
- 2014-08-25
- Last updated
- 2022-04-13
- Certified
- 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.