BARAKA HOUSE LLC NPI 1356780563

NPI Information

NPI: 1356780563
Provider Name: BARAKA HOUSE LLC
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
7445 W CHERYL DR
PEORIA, AZ
ZIP 85345
Phone: (623) 878-0463
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BARAKA HOUSE LLC is a community based residential treatment facility mental illness in Peoria, AZ. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. BARAKA HOUSE LLC NPI is 1356780563. The provider is registered as an organization entity type.

The provider's business location address is:

7445 W CHERYL DR
PEORIA, AZ
ZIP 85345-722
Phone: (623) 878-0463
Fax: (623) 878-0463

The provider's authorized official is Zahra C. M. Plagens .
The authorized official title is Owner/director and has the following contact phone number (623) 570-1138.

The enumeration date for this NPI number is 6/20/2013 and was last updated on 6/20/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320800000X	Community Based Residential Treatment Facility, Mental Illness		BH4229	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	BH4229	OTHER	ARIZONA	BEHAVIORAL HEALTH LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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