JANELLE HULTMAN NPI 1952457392

NPI Information

  • NPI: 1952457392
  • Provider Name: JANELLE HULTMAN
  • Classification: Assisted Living Facility - 3104A0625X
  • Specialization: Assisted Living, Mental Illness
  • Entity Type: Organization
  • Address: 13401 W FARGO DR
    SURPRISE, AZ
    ZIP 85374
  • Phone: (623) 581-5687

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NPI Details

JANELLE HULTMAN is an assisted living and mental illness assisted living facility in Surprise, AZ. The provider is 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. JANELLE HULTMAN NPI is 1952457392. The provider is registered as an organization entity type.

The provider's business location address is:

13401 W FARGO DR
SURPRISE, AZ
ZIP 85374-205
Phone: (623) 581-5687

The provider's authorized official is Janelle Evonne Hultman .
The authorized official title is Administrator and has the following contact phone number (623) 581-5687.

The enumeration date for this NPI number is 1/26/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13104A0625XAssisted Living FacilityAssisted Living, Mental IllnessBH-2695ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1118632MEDICAIDARIZONA
2BH-2695OTHERARIZONASTATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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