Baraka DDD LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

BARAKA DDD LLC

Practice address

5450 E Dolphin Ave
Mesa, AZ 85206-2205

Phone

(623) 570-1138

NPI assigned

May 26, 2021

Organization subpart

No

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

Authorized official

Name

Zahra Plagens

Title

Ceo

Phone

(623) 570-1138

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1621987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621987200000",
    "number": "1972178424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 W WETHERSFIELD DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853041841",
            "telephone_number": "623-570-1138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5450 E DOLPHIN AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852062205",
            "telephone_number": "623-570-1138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARAKA DDD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-26",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A",
        "authorized_official_last_name": "PLAGENS",
        "authorized_official_first_name": "ZAHRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "623-570-1138"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Banuelos
• Shannon Leann Banuelos, MAED COUNSELING
• Zaid Banysakher
• Matthew Baragar
• Daniela Barajas
• Sandy Barakat
• Amie N Barbanti, NMD
• Barbara J Newman, DO, PLC
• Jennifer Barber
• Kristie E Barber, LMFT

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; 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.