Organization · Type 2 NPI
Baraka House LLC
Assisted Living Facility (Mental Illness) · Phoenix, AZ
Practice location
4149 W Caron St
Phoenix, AZ 85051-3230
Fax (800) 642-8008
Mailing address
PO Box 72657
Phoenix, AZ 85050-1028
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility | 310400000X | None listed |
| Assisted Living Facility (Mental Illness) Primary | 3104A0625X | None listed |
| Assisted Living Facility (Behavioral Disturbances) | 3104A0630X | None listed |
Assisted Living Facility (Mental Illness): A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
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About NPI 1487546255
Baraka House LLC's National Provider Identifier is 1487546255, issued on Jul 16, 2025. The primary taxonomy on file is Assisted Living Facility (Mental Illness) (3104A0625X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 16, 2025.