MEDICARE: BARAKA OPERATING COMPANY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1619849304
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BARAKA OPERATING COMPANY LLC

Provider Business Mailing Address
First Line	:	17996 BUSINESS 13
Second Line	:
City	:	BRANSON WEST
State	:	MO
Zip	:	65737-9663
Country	:	US
Telephone Number	:	417-248-4020
Fax Number	:	417-248-4021

Provider Business Practice Location Address
First Line	:	17996 BUSINESS 13
Second Line	:
City	:	BRANSON WEST
State	:	MO
Zip	:	65737-9663
Country	:	US
Telephone Number	:	417-248-4020
Fax Number	:	417-248-4021

Authorized Official
Title or Position	:	OWNER
Name	:	JOSEPHAT K BITOK
Credential	:
Telephone Number	:	417-763-0704

Provider Enumeration Date	:	09/22/2025
Last Update Date	:	09/22/2025

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Directions to “BARAKA OPERATING COMPANY LLC ” Practice Location

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