Community & Child Rehabilitation Service LLC
NPI 1336858075 · In Home Supportive Care Agency · Surprise, AZ
Community & Child Rehabilitation Service LLC is a In Home Supportive Care Agency organization in Surprise, AZ (NPI 1336858075).
Provider details
- NPI number
- 1336858075
- Entity type
- Organization
- Primary specialty
- In Home Supportive Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Akaninyene Etukudoh, Program Director(623) 455-1558
Specialties & taxonomies
Agencies
- Rehabilitation Registered Nurse163WR0400X
Nursing Service Providers
- Lodging Provider177F00000X
Other Service Providers
Agencies
- Early Intervention Provider Agency252Y00000X
Agencies
- Developmental Disabilities Clinic/Center261QD1600X
Ambulatory Health Care Facilities
- Health Service Clinic/Center261QH0100X
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Community & Child Rehabilitation Service LLC
- Doing business as
- Community & Child Rehabilitation Services LLC
Registry dates
- Enumerated
- 2022-11-22
- Last updated
- 2025-08-11
- Certified
- 2025-08-11
Frequently asked questions
- What is Community & Child Rehabilitation Service LLC's NPI number?
- Community & Child Rehabilitation Service LLC's National Provider Identifier (NPI) is 1336858075, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Community & Child Rehabilitation Service LLC?
- Community & Child Rehabilitation Service LLC is classified in the NPPES registry as In Home Supportive Care Agency (Agencies).
- Where is Community & Child Rehabilitation Service LLC located?
- Community & Child Rehabilitation Service LLC's practice location on file with NPPES is 14233 W Poinsettia Dr, Surprise, AZ 85379-4910.
- What is Community & Child Rehabilitation Service LLC's phone number?
- The practice phone number listed in the NPPES registry for Community & Child Rehabilitation Service LLC is (623) 455-1558.
- Who is the authorized official for Community & Child Rehabilitation Service LLC?
- The authorized official listed on Community & Child Rehabilitation Service LLC's NPPES record is Akaninyene Etukudoh, Program Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Community & Child Rehabilitation Service LLC's NPI active?
- Yes — Community & Child Rehabilitation Service LLC's NPI (1336858075) is active in the NPPES registry as of the last update on 2025-08-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.