Healthcare Provider Details

I. General information

NPI: 1639085194
Provider Name (Legal Business Name): BARAKA HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 JAMES ST
JOHNSTOWN PA
15902-2304
US

IV. Provider business mailing address

114 JAMES ST
JOHNSTOWN PA
15902-2304
US

V. Phone/Fax

Practice location:
  • Phone: 582-855-0908
  • Fax:
Mailing address:
  • Phone: 215-586-9815
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MISS EVA DENISE LITTLEJOHN
Title or Position: OWNER
Credential: CNA
Phone: 215-586-9815