Community & Child Rehabilitation Services Llc

LBN: Community & Child Rehabilitation Services Llc
Community & Child Rehabilitation Services Llc is an health care organization with primary practice located at 14233 W Poinsettia Dr , Surprise AZ 85379-4910. The organization recently has 13 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Nursing Service Providers / Rehabilitation, Other Service Providers / Lodging, Agencies / Day Training, Developmentally Disabled Services, Agencies / Early Intervention Provider Agency, Agencies / In Home Supportive Care, Ambulatory Health Care Facilities / Developmental Disabilities, Ambulatory Health Care Facilities / Health Service, Hospital Units / Rehabilitation, Substance Use Disorder Unit, Managed Care Organizations / Exclusive Provider Organization, Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Transportation Services / Non-emergency Medical Transport (VAN), Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities. Nursing Service Providers / Rehabilitation is the primary health care specialty. Community & Child Rehabilitation Services Llc can be contacted via phone (623) 455-1558, or through Etukudoh, Akaninyene James via phone (623) 455-1558.

Contact Information

Primary practice address
14233 W Poinsettia Dr Surprise AZ 85379-4910
Phone: (623) 455-1558
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Etukudoh, Akaninyene James PMHNP
Phone: (623) 455-1558

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X
Nursing Service Providers / Rehabilitation 163WR0400X
Other Service Providers / Lodging 177F00000X
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Agencies / Early Intervention Provider Agency 252Y00000X
Agencies / In Home Supportive Care 253Z00000X
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X
Ambulatory Health Care Facilities / Health Service 261QH0100X
Hospital Units / Rehabilitation, Substance Use Disorder Unit 276400000X
Managed Care Organizations / Exclusive Provider Organization 302F00000X
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X

Profile Details

NPI number 1336858075
LBN Legal business name Community & Child Rehabilitation Services Llc
DBA Doing business as
Authorized official Etukudoh, Akaninyene James PMHNP
Entity Organization
Organization subpart 1 No
Enumeration date Nov 22nd, 2022
Last updated Nov 22nd, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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