Community & Child Rehabilitation Service LLC

Community & Child Rehabilitation Service LLC is a Rehabilitation Registered Nurse in Surprise, Arizona. Registered with an NPI since 2022.

What do these letters mean?

LLC — Limited liability company: A form of business registration, not a clinical qualification.

Practice location Address checks out

14233 W Poinsettia Dr
Surprise, AZ 85379-4910
Phone: (623) 455-1558

Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

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

NPI number	1336858075
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Akaninyene Etukudoh — Program Director · (623) 455-1558
Other names	Community & Child Rehabilitation Services Llc; Community & Child Rehabilitation Service Llc
NPI enumerated	November 22, 2022
Last updated in NPPES	August 11, 2025
Certification date	August 11, 2025
Mailing address	14233 W Poinsettia Dr, Surprise, AZ 85379-4910