BARAKA HOUSE LLC (NPI# 1356780563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356780563 |
| Entity Type | Organization |
| Organization Name | BARAKA HOUSE LLC |
| Practice Address |
7445 W Cheryl Dr Peoria AZ 85345-6722 |
| Mailing Address |
5709 W Windrose Dr Glendale AZ 85304-1859 |
| Practice Telephone | 6238780463 |
| Practice Fax Number | 6238780463 |
| Mailing Telephone | 6234860721 |
| Mailing Fax Number | 6024661389 |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2013-06-20 |
| Authorized Official Name | MRS. ZAHRA C. M. PLAGENS (OWNER/DIRECTOR) |
| Authorized Official Telephone | 6235701138 |
| Authorized Official Credential | CNA, BHT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | BH4229 | AZ | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | BEHAVIORAL HEALTH LICENSE | BH4229 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396145694 | Baraka House LLC | Community Based Residential Treatment Facility, Mental Illness | 3302 W Mescal St, Phoenix, AZ 85029-4114 | 2014-08-25 |
| 1548582679 | Baraka House LLC | Assisted Living Facility | 15402 N 29th Ave, Phoenix, AZ 85053-4003 | 2010-02-16 |
| 1104084383 | Baraka House LLC | Assisted Living Facility | 13619 N 36th Ave, Phoenix, AZ 85029-1103 | 2008-05-24 |
| Street Address |
7445 W CHERYL DR |
| City | PEORIA |
| State | AZ |
| Zip Code | 85345-6722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265585269 | Zahra Chebet Plagens | Lodging | 7445 W Cheryl Dr, Peoria, AZ 85345-6722 | 2007-01-21 |
| 1164576724 | Zahra C. M. Plagens | Assisted Living Facility | 7445 W Cheryl Dr, Peoria, AZ 85345-6722 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215575824 | Maricopa County Special Health Care District | Pharmacy | 8088 W Whitney Dr, Peoria, AZ 85345 | 2019-12-13 |
| 1528604923 | Maricopa County Special Health Care District | Clinic/Center | 8088 West Whitney Dr., Peoria, AZ 85345 | 2019-11-20 |
| 1578057378 | Marigold Home Care LLC | In Home Supportive Care | 8917 N 90th Ave, Peoria, AZ 85345 | 2018-06-15 |
| 1518341551 | Recovery Innovations, Inc | Respite Care | 11361 N 99th Avenue, Suite 107, Peoria, AZ 85345 | 2015-07-18 |
| 1952655110 | Pmc Pain Management Center Pllc | Clinic/Center | 8914 N.91 Ave, Peoria, AZ 85345 | 2012-11-08 |
| 1831462993 | Mary Kate Burdick | Veterinarian | 9960 N 91st Ave, Peoria, AZ 85345 | 2012-02-20 |
| 1144545120 | Lawrence William Wolfe | Pharmacist | 9043 W. Olive Ave., Fry's Food and Drug, Peoria, AZ 85345 | 2010-04-01 |
| 1306169917 | Katherine Thompson Hinkle | Pharmacist | 7455 West Cactus, Frys Food and Drug, Peoria, AZ 85345 | 2010-03-10 |
| 1033307715 | American Current Care of Arizona Pa | Clinic/Center | 7400 West Olive Avenue, Suite 1, Peoria, AZ 85345 | 2007-10-09 |
| 1184746802 | Assisted Living Concepts Inc | Assisted Living Facility | 10401 North 79th Avenue, Peoria, AZ 85345 | 2007-04-04 |
| Find all providers in zip 85345 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952913998 | Vema Corporation | Community Based Residential Treatment Facility, Mental Illness | 12701 N 79th Dr, Peoria, AZ 85381-9049 | 2020-08-20 |
| 1851926166 | Miss A's LLC | Community Based Residential Treatment Facility, Mental Illness | 9143 N 82nd Ln, Peoria, AZ 85345-4827 | 2020-03-06 |
| 1316412059 | John & Biljana Feeley Dba J & B Assisted Living IIi Inc | Community Based Residential Treatment Facility, Mental Illness | 7331 W Sweetwater Avenue, Peoria, AZ 85381 | 2018-10-09 |
| 1871095232 | Loving Hands LLC | Community Based Residential Treatment Facility, Mental Illness | 9323 W Harmony Ln, Peoria, AZ 85382-8374 | 2018-03-01 |
| 1316453913 | Love for The Children Group Home | Community Based Residential Treatment Facility, Mental Illness | 20277 N 93rd Ave, Peoria, AZ 85382-5319 | 2017-12-18 |
| 1265967012 | Abba Behavioral Health,llc | Community Based Residential Treatment Facility, Mental Illness | 21388 N 106th Ln, Peoria, AZ 85382-0522 | 2017-04-28 |
| 1114465978 | Orion Homes LLC | Community Based Residential Treatment Facility, Mental Illness | 8302 W Donald Dr, Peoria, AZ 85383-2041 | 2017-02-01 |
| 1457897027 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 7524 W. Alexandria Way, Peoria, AZ 85381 | 2017-01-06 |
| 1447795992 | Miss A's LLC | Community Based Residential Treatment Facility, Mental Illness | 8606 N 68th Ln, Peoria, AZ 85345-8451 | 2016-12-19 |
| 1942743711 | Loloma House LLC | Community Based Residential Treatment Facility, Mental Illness | 15259 N 67th Dr, Peoria, AZ 85381-4502 | 2016-11-29 |
| Find all providers in PEORIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.