NPIMap

Organization Active NPI

Baraka House LLC

  • Assisted Living Facility (Mental Illness)
  • Phoenix, AZ
National Provider Identifier
1487546255
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
Legal business name
BARAKA HOUSE LLC
Practice address
4149 W Caron St
Phoenix, AZ 85051-3230
Phone
(602) 441-2388
Fax
(800) 642-8008
NPI assigned
Jul 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Victor Obidike Okorie
Title
President & Ceo
Phone
(602) 441-2388

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X
Assisted Living Facility (Mental Illness) 3104A0625X Primary
Assisted Living Facility (Behavioral Disturbances) 3104A0630X

Addresses

Primary practice location

4149 W Caron St
Phoenix, AZ 85051-3230

Mailing address

PO Box 72657
Phoenix, AZ 85050-1028
Phone (602) 441-2388

Other names 1

  • Baraka House VI Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Baraka House LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1752624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752624000000",
    "number": "1487546255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 72657",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850501028",
            "telephone_number": "602-441-2388",
            "fax_number": "800-642-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4149 W CARON ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850513230",
            "telephone_number": "602-441-2388",
            "fax_number": "800-642-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARAKA HOUSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-16",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A",
        "authorized_official_last_name": "OKORIE",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "OBIDIKE",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "602-441-2388"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baraka House VI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.