BARAKA MANOR, LLC (NPI# 1588138234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588138234 |
| Entity Type | Organization |
| Organization Name | BARAKA MANOR, LLC |
| Practice Address |
1302 West Kesler Lane Baraka Manor, LLC Chandler AZ 85224-7286 |
| Practice Telephone | 4806872781 |
| Practice Fax Number | 4806872783 |
| Mailing Telephone | 4806872781 |
| Mailing Fax Number | 4806872783 |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2019-01-16 |
| Authorized Official Name | FLORENCE NJOKI GITHIRA (CEO/PROGRAM MANAGER) |
| Authorized Official Telephone | 9783905357 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3104A0630X |
Assisted Living Facility Specialization: Assisted Living, Behavioral Disturbances |
Nursing & Custodial Care Facilities | ||
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
Nursing & Custodial Care Facilities |
| Street Address |
1302 WEST KESLER LANE BARAKA MANOR, LLC |
| City | CHANDLER |
| State | AZ |
| Zip Code | 85224-7286 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245878859 | Optum Infusion Services 308, LLC | Durable Medical Equipment & Medical Supplies | 460 S. Benson Lane, Ste. 11-12, Chandler, AZ 85224 | 2019-12-13 |
| 1073172037 | Brennan Allen | Dentist | 610 N Alma School Rd Ste 4, Chandler, AZ 85224 | 2019-06-12 |
| 1518525237 | Rachel Kelly Mador-house | Genetic Counselor, MS | 685 & 695 S Dobson Rd, Chandler, AZ 85224 | 2019-05-29 |
| 1780249748 | Julia Solomon, Md | Obstetrics & Gynecology | 1725 West Frye Road, Suite 120, Chandler, AZ 85224 | 2019-05-06 |
| 1487118717 | Litonrx LLC | Pharmacy | 2080 N. Dobson Road, Suite 3, Chandler, AZ 85224 | 2019-01-31 |
| 1528556495 | Stone Med, LLC | Physical Medicine & Rehabilitation | 77 S Dobson Rd., Phoenix, AZ 85224 | 2018-04-26 |
| 1144739079 | Four Peaks Anesthesia Consultants, LLC | Anesthesiology | 1900 W Chandler Blvd Ste 15-257, Chandler, AZ 85224 | 2017-09-22 |
| 1275061350 | Whitney Carter | Behavioral Analyst | 3200 N Dobson Rd Ste F-1, Chandler, AZ 85224 | 2017-06-01 |
| 1528509171 | Angela M. Navarrete | Specialist/Technologist, Other | 1586 W Maggio Way Apt 2005, 2005, Chandler, AZ 85224 | 2017-03-15 |
| 1063958288 | Glover Family Medical, LLC | Clinic/Center | 901 S Alma School Rd, Apt. 20, Chandler, AZ 85224 | 2017-01-11 |
| Find all providers in zip 85224 | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033664081 | Peggy Nyalita | Assisted Living Facility | 3532 W Boston St, Chandler, AZ 85226-3813 | 2016-08-19 |
| 1386998276 | Amore Manor Home A Behavioral Facility LLC | Assisted Living Facility | 2585 E Honeysuckle Pl, Chandler, AZ 85286-2452 | 2012-10-31 |
| 1720535495 | Penali Manor LLC | Assisted Living Facility | 3532 W Boston St, Chandler, AZ 85226-3813 | 2016-09-09 |
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|---|---|---|---|---|
| 1174120703 | Charite Home | Assisted Living Facility | 6057 S Avenida Caneca, Tucson, AZ 85706-5073 | 2020-10-06 |
| 1245847664 | Young Life Al Inc. | Assisted Living Facility | 2334 W Rancho Dr, Phoenix, AZ 85015-2211 | 2020-09-29 |
| 1184231953 | Frontier Home Health Care Sober Living of Arizona, Corp | Assisted Living Facility | 8604 N 43rd Dr, Glendale, AZ 85302-5317 | 2020-09-25 |
| 1679180517 | Trinity's House | Assisted Living Facility | 6692 E Via Boca Chica, Tucson, AZ 85756-8309 | 2020-09-24 |
| 1811526148 | Phoenix Comfort Homes LLC | Assisted Living Facility | 17643 N 17th St, Phoenix, AZ 85022-2113 | 2020-04-07 |
| 1508493016 | Good Care Network LLC | Assisted Living Facility | 4775 E Kristen Dr, Prescott, AZ 86301-5803 | 2020-03-25 |
| 1881229946 | Famiglia Amore II LLC | Assisted Living Facility | 632 N. Wilmot, Tucson, AZ 85711 | 2020-03-10 |
| 1669002168 | Better Horizons Behavioral Health LLC | Assisted Living Facility | 1136 W Fever Tree Ave, San Tan Valley, AZ 85140-7682 | 2020-01-23 |
| 1225697386 | Alpine Villa LLC | Assisted Living Facility | 2144 W Luke Ave, Phoenix, AZ 85015-2319 | 2019-06-11 |
| 1225510118 | Adagio Luxury 4 LLC | Assisted Living Facility | 1045 E Bethany Home Rd, Phoenix, AZ 85014-2229 | 2018-09-06 |
| Find all providers with the same taxonomy | ||||
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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.