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COMMUNITY & CHILD REHABILITATION SERVICE LLC
NPI 1336858075
In Home Supportive Care in Surprise, AZ

Active since November 22, 2022
14233 W POINSETTIA DR, SURPRISE, AZ 85379(623) 455-1558 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 11, 2025, Nov 22, 2022 (2 updates tracked since 2022).

About Community & Child Rehabilitation Service Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COMMUNITY & CHILD REHABILITATION SERVICE LLC (NPI 1336858075), doing business as Community & Child Rehabilitation Services Llc, is a healthcare organization registered as an in home supportive care in Surprise, Arizona and active in the NPI registry since November 2022. The organization lists Akaninyene James Etukudoh, Program Director, as its authorized official.

NPPES Registry Identity

NPI1336858075
Entity TypeOrganization
Primary Taxonomy253Z00000X
Legal Business NameCOMMUNITY & CHILD REHABILITATION SERVICE LLC
Location Address14233 W POINSETTIA DRSurprise, AZ 85379-4910
Mailing Address14233 W Poinsettia DrSurprise, AZ 85379-4910 · (623) 455-1558
Phone(623) 455-1558
Organization SubpartNo
Authorized OfficialAkaninyene James EtukudohProgram Director · (623) 455-1558
Enumeration DateNovember 22, 2022
Last NPPES UpdateAugust 11, 20252 updates tracked since enumeration
NPPES CertifiedAugust 11, 2025
✔ NPI 1336858075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 13

★ Primary SpecialtyIn Home Supportive CareAgencies
Taxonomy Code253Z00000X
Definition

An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

Also ListedRegistered Nurse · RehabilitationTaxonomy 163WR0400X
Also ListedLodgingTaxonomy 177F00000X
Also ListedDay Training, Developmentally Disabled ServicesTaxonomy 251C00000X
Also ListedEarly Intervention Provider AgencyTaxonomy 252Y00000X
Also ListedClinic/Center · Developmental DisabilitiesTaxonomy 261QD1600X
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
Also ListedRehabilitation, Substance Use Disorder UnitTaxonomy 276400000X
Also ListedExclusive Provider OrganizationTaxonomy 302F00000X
Also ListedIntermediate Care Facility, Intellectual DisabilitiesTaxonomy 315P00000X
Also ListedResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320600000X
Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X
Also ListedRespite Care · Respite Care, Intellectual and/or Developmental DisabilitiesTaxonomy 385HR2060X
14233 W POINSETTIA DR, Surprise, AZ 85379
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Other Names 2

Doing Business AsCommunity & Child Rehabilitation Services Llc
Other NameCommunity & Child Rehabilitation Service Llc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GLOBAL HEALTHCARE SERVICES LLC
Nurse Practitioner (Psychiatric/Mental Health)
14233 W POINSETTIA DR
SURPRISE, AZ 85379
Maricopa County (623) 455-1558

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Community & Child Rehabilitation Service LLC's NPI number?

The NPI number for Community & Child Rehabilitation Service LLC is 1336858075. It was assigned to this organization in the NPPES registry on November 22, 2022. The provider is doing business as Community & Child Rehabilitation Services LLC.

Where is Community & Child Rehabilitation Service LLC located?

Community & Child Rehabilitation Service LLC is located at 14233 W Poinsettia Dr, Surprise, AZ 85379. The listed phone number is (623) 455-1558.

What is Community & Child Rehabilitation Service LLC's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

When was this NPI record last updated?

The NPPES record for Community & Child Rehabilitation Service LLC was last updated on August 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.