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Community & Child Rehabilitation Service LLC

In Home Supportive Care Agency in Surprise, AZ · enumerated 2022 · authorized official Akaninyene Etukudoh, Program Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1336858075

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Registry record

Entity type Organization (Type 2)
Legal business name Community & Child Rehabilitation Service LLC
Other name <Unavail>
Practice address 14233 W Poinsettia Dr, Surprise, AZ, 85379
Phone (623) 455-1558
Enumeration date Nov 22, 2022
Last updated in NPPES Aug 11, 2025

Taxonomy & classification

163WR0400X Rehabilitation Registered Nurse Nursing Service Providers Secondary
177F00000X Lodging Provider Other Service Providers Secondary
251C00000X Developmentally Disabled Services Day Training Agency Agencies Secondary
252Y00000X Early Intervention Provider Agency Agencies Secondary
253Z00000X In Home Supportive Care Agency Agencies Primary
261QD1600X Developmental Disabilities Clinic/Center Ambulatory Health Care Facilities Secondary
261QH0100X Health Service Clinic/Center Ambulatory Health Care Facilities Secondary
276400000X Substance Use Disorder Rehabilitation Hospital Unit Hospital Units Secondary
302F00000X Exclusive Provider Organization Managed Care Organizations Secondary
315P00000X Intellectual Disabilities Intermediate Care Facility Nursing & Custodial Care Facilities Secondary
320600000X Intellectual and/or Developmental Disabilities Residential Treatment Facility Residential Treatment Facilities Secondary
343900000X Non-emergency Medical Transport (VAN) Transportation Services Secondary
385HR2060X Child Intellectual and/or Developmental Disabilities Respite Care Respite Care Facility Secondary

Authorized official

Name Akaninyene Etukudoh
Title Program Director
Phone (623) 455-1558

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Community & Child Rehabilitation Service LLC?
NPPES lists Akaninyene Etukudoh (Program Director) as the authorized official for this organization.
What is the NPI number for Community & Child Rehabilitation Service LLC?
The NPI for Community & Child Rehabilitation Service LLC is 1336858075, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-08-11.