OrganizationActive
Janelle Hultman
NPI 1952457392 · Assisted Living Facility (Mental Illness) · Surprise, AZ
Provider details
- NPI number
- 1952457392
- Entity type
- Organization
- Primary specialty
- Assisted Living Facility (Mental Illness)Nursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Janelle Hultman, Administrator(623) 581-5687
- License
- BH-2695 (AZ)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
13401 W Fargo Dr
Surprise, AZ 85374-5205
Phone: (623) 581-5687
Street-level locationGet directions
Mailing address
13401 W Fargo Dr
Surprise, AZ 85374-5205
Registry dates
- Enumerated
- 2007-01-26
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.