BARAKA HOUSE (NPI# 1609079235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609079235 |
| Entity Type | Organization |
| Organization Name | BARAKA HOUSE |
| Practice Address |
3740 W Caron St Phoenix AZ 85051-3340 |
| Mailing Address |
5709 W Windrose Dr Glendale AZ 85304-1859 |
| Practice Telephone | 6022498900 |
| Practice Fax Number | 6022498900 |
| Mailing Telephone | 6022498900 |
| Mailing Fax Number | 6022498900 |
| Enumeration Date | 2007-06-10 |
| Last Update Date | 2008-05-24 |
| Authorized Official Name | MRS. ZAHRA C. M. PLAGENS (DIRECTOR OWNER) |
| Authorized Official Telephone | 6235701138 |
| Authorized Official Credential | BHT, CNA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
BH2753 | AZ | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 114301 | 05 | |
| AZ | BEHAVIORAL HEALTH LICENSE | BH2753 | 01 |
| Street Address |
3740 W CARON ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85051-3340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184250383 | Jhajaira Elizabeth Cadenas | Optometrist | 3937 W Northview Ave, Phoenix, AZ 85051 | 2020-03-19 |
| 1083270854 | Vision With Wings | Voluntary or Charitable | 9617 N. Metro Pkwy West, Ste. 1214, Phoeniz, AZ 85051 | 2019-05-16 |
| 1417510405 | Applied Behavioral Interventions Pllc | Dietitian, Registered | 10000 N. 31st Avenue Ste. A107, Phoenix, AZ 85051 | 2019-04-16 |
| 1558832683 | Liberty Home LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 9649 N 36th Ave, Phoenix, AZ 85051 | 2018-12-16 |
| 1518459080 | Addie Robin Diroberts | Counselor | 10240 W. 31st Ave, Phoenix, AZ 85051 | 2018-05-31 |
| 1093239816 | Jason Allan Parker | Licensed Practical Nurse | 3310 West Cheryl Drive, Phoenix, AZ 85051 | 2017-08-02 |
| 1588019145 | Vanessa Eloise Hernandez | Counselor | 10000 N. 31st Ave., Applied Behavioral Interventions, Pllc, Phoenix, AZ 85051 | 2016-05-02 |
| 1912230178 | Mozelle Barr Martin | Counselor | 3734 W. Vista Ave., Phoenix, AZ 85051 | 2009-09-04 |
| 1316184542 | Tom Sowash Od & Associates PC | Optometrist | 9617 North Parkway West, #1160, Phoenix, AZ 85051 | 2009-01-09 |
| 1609026913 | Luma Z Sayegh | Dentist | 7012 N 35th Ave, Suite 1, Phoenix, AZ 85051 | 2008-09-23 |
| Find all providers in zip 85051 | ||||
| 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 |
|---|---|---|---|---|
| 1245847664 | Young Life Al Inc. | Assisted Living Facility | 2334 W Rancho Dr, Phoenix, AZ 85015-2211 | 2020-09-29 |
| 1811526148 | Phoenix Comfort Homes LLC | Assisted Living Facility | 17643 N 17th St, Phoenix, AZ 85022-2113 | 2020-04-07 |
| 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 |
| 1528446648 | Prats Care Home L.L.C. | Assisted Living Facility | 13401 N 30th St, Phoenix, AZ 85032-6028 | 2015-05-08 |
| 1871914408 | A1 Universal Care Inc | Assisted Living Facility | 2529 W Vista Ave, 102, Phoenix, AZ 85051-6783 | 2013-12-27 |
| 1548582679 | Baraka House LLC | Assisted Living Facility | 15402 N 29th Ave, Phoenix, AZ 85053-4003 | 2010-02-16 |
| 1902034424 | Brett Calabro's Home | Assisted Living Facility | 4002 W Sharon Ave, Phoenix, AZ 85029-1044 | 2009-06-23 |
| 1013172352 | Visionz Alliance LLC | Assisted Living Facility | 351 W Sumerset Dr, Phoenix, AZ 85023-7425 | 2008-07-25 |
| 1104084383 | Baraka House LLC | Assisted Living Facility | 13619 N 36th Ave, Phoenix, AZ 85029-1103 | 2008-05-24 |
| Find all providers in PHOENIX | ||||
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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.