OrganizationActive
Baraka House LLC
NPI 1992684633 · Assisted Living Facility (Mental Illness) · Phoenix, AZ
Provider details
- NPI number
- 1992684633
- Entity type
- Organization
- Primary specialty
- Assisted Living Facility (Mental Illness)Nursing & Custodial Care Facilities
- Parent organization
- Baraka House LLC
- Organization subpart
- Yes
- Authorized official
- Victor Okorie, President & Ceo(602) 441-2388
Specialties & taxonomies
Nursing & Custodial Care Facilities
- Assisted Living Facility310400000X
Nursing & Custodial Care Facilities
Practice location
4221 N 86th Dr
Phoenix, AZ 85037-2142
Phone: (602) 441-2388
Fax: (800) 642-8008
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 72657
Phoenix, AZ 85050-1028
Other names (DBA / former)
- Doing business as
- Baraka House III
Registry dates
- Enumerated
- 2025-08-28
- Last updated
- 2025-08-28
- Certified
- 2025-08-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.