Organization · Type 2 NPI

Baraka House LLC

Assisted Living Facility (Mental Illness) · Phoenix, AZ

NPI number 1487546255 Active

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

TaxonomyCodeLicense
Assisted Living Facility 310400000XNone listed
Assisted Living Facility (Mental Illness) Primary 3104A0625XNone listed
Assisted Living Facility (Behavioral Disturbances) 3104A0630XNone 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.