JANELLE HULTMAN
NPI 1952457392
Assisted Living Facility - Assisted Living, Mental Illness in Surprise, AZ

Active since January 26, 2007
13401 W FARGO DR, SURPRISE, AZ 85374(623) 581-5687 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Janelle Hultman NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JANELLE HULTMAN (NPI 1952457392) is a healthcare organization registered as an assisted living, mental illness in Surprise, Arizona and active in the NPI registry since January 2007. The organization lists Janelle Evonne Hultman, Administrator, as its authorized official.

NPPES Registry Identity

NPI1952457392
Entity TypeOrganization
Primary Taxonomy3104A0625X
Legal Business NameJANELLE HULTMAN
Location Address13401 W FARGO DRSurprise, AZ 85374-5205
Mailing Address13401 W Fargo DrSurprise, AZ 85374-5205 · (623) 581-5687
Organization SubpartNo
Authorized OfficialJanelle Evonne HultmanAdministrator · (623) 581-5687
Enumeration DateJanuary 26, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1952457392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code3104A0625X
License Licensed in AZ · BH-2695
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
13401 W FARGO DR, Surprise, AZ 85374

Other Identifiers 2

Medicaid118632AZ
OtherBH-2695AZ · State License

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Janelle Hultman's NPI number?

The NPI number for Janelle Hultman is 1952457392. It was assigned to this organization in the NPPES registry on January 26, 2007.

Where is Janelle Hultman located?

Janelle Hultman is located at 13401 W Fargo Dr, Surprise, AZ 85374. The listed phone number is (623) 581-5687.

What is Janelle Hultman's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for Janelle Hultman was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.