Provider Demographics
NPI:1003514373
Name:MADE WITH BARAKAH, LLC
Entity Type:Organization
Organization Name:MADE WITH BARAKAH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALAH
Authorized Official - Middle Name:
Authorized Official - Last Name:ELASMAR
Authorized Official - Suffix:
Authorized Official - Credentials:RD, LD
Authorized Official - Phone:281-760-7242
Mailing Address - Street 1:14727 WYNBOURN WAY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-4703
Mailing Address - Country:US
Mailing Address - Phone:281-760-7242
Mailing Address - Fax:
Practice Address - Street 1:14727 WYNBOURN WAY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-4703
Practice Address - Country:US
Practice Address - Phone:281-760-7242
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-16
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty