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

NPI Status: Active since November 22, 2022

Contact Information

14233 W POINSETTIA DR
SURPRISE, AZ
ZIP 85379
Phone: (623) 455-1558

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  • Organization
  • In Home Supportive Care

About COMMUNITY & CHILD REHABILITATION SERVICE LLC

This page provides the complete NPI Profile along with additional information for Community & Child Rehabilitation Service Llc, a provider established in Surprise, Arizona operating as a In Home Supportive Care. The healthcare provider is registered in the NPI registry with number 1336858075 assigned on November 2022. The practitioner's primary taxonomy code is 253Z00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Community & Child Rehabilitation Service Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's . The authorized official of this NPI record is Akaninyene James Etukudoh Dnp (Program Director)

NPI
1336858075
Provider Legal Name
COMMUNITY & CHILD REHABILITATION SERVICE LLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
14233 W POINSETTIA DR SURPRISE, AZ 85379
Location Phone
(623) 455-1558
Mailing Address
14233 W POINSETTIA DR SURPRISE, AZ 85379
Mailing Phone
(623) 455-1558
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-22-2022
Last Update Date
08-11-2025
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

In Home Supportive Care

Taxonomy Code
253Z00000X
Type
Agencies
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1163WR0400XNursing Service Providers

Registered Nurse
Rehabilitation

 
2177F00000XOther Service Providers

Lodging

 
3251C00000XAgencies

Day Training, Developmentally Disabled Services

 
4252Y00000XAgencies

Early Intervention Provider Agency

 
5261QD1600XAmbulatory Health Care Facilities

Clinic/Center
Developmental Disabilities

 
6261QH0100XAmbulatory Health Care Facilities

Clinic/Center
Health Service

 
7276400000XHospital Units

Rehabilitation, Substance Use Disorder Unit

 
8302F00000XManaged Care Organizations

Exclusive Provider Organization

 
9315P00000XNursing & Custodial Care Facilities

Intermediate Care Facility, Intellectual Disabilities

 
10320600000XResidential Treatment Facilities

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

 
11343900000XTransportation Services

Non-emergency Medical Transport (VAN)

 
12385HR2060XRespite Care Facility

Respite Care
Respite Care, Intellectual and/or Developmental Disabilities

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

AKANINYENE JAMES ETUKUDOH DNP

Authorized Official Title
PROGRAM DIRECTOR
Authorized Official Phone
(623) 455-1558

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1336858075, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
3
Doubled → 6
Pos 4
6
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
5
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
0
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 8 → 16 → 7 8 → 16 → 7 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 6 + 6 + 1 + 6 + 5 + 1 + 6 + 0 + 1 + 4 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1336858075.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Nurse Practitioner (Psychiatric/Mental Health)
14233 W POINSETTIA DR
SURPRISE, AZ 85379
Nurse Practitioner (Psychiatric/Mental Health)
14233 W POINSETTIA DR
SURPRISE, AZ 85379

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336858075, enumerated as an "organization" on November 22, 2022.

The provider is located at 14233 W POINSETTIA DR SURPRISE, AZ 85379 and the phone number is (623) 455-1558.

In Home Supportive Care with taxonomy code 253Z00000X.