VITAL AGENCY LLC – In Home Supportive Care Agency, NPI 1932762408

VITAL AGENCY LLC is a healthcare provider. based in Blaine, Minnesota. specializing in In Home Supportive Care Agency. The NPI Number for VITAL AGENCY LLC is 1932762408

Main info

Organization
Name
VITAL AGENCY LLC
NPI
1932762408
Phone
(612) 275-3889
Address
12864 FILLMORE STREET NE
Authorized Official
NAMBAGO KALEMA CEO
Enumeration Date
19 April 2019
Last Update Date
19 April 2019
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:7State licenses:0Digital endpointsOther names

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Provider Addresses for VITAL AGENCY LLC

  • 12864, Fillmore Street Northeast, Johnsville, Blaine, Anoka County, Minnesota, 55434, United States

    BLAINE, MN 55434

    Phone: (612) 275-3889

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55434)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for VITAL AGENCY LLC?
VITAL AGENCY LLC — NPI 1932762408 — is the standard way to identify this listing.
Does the file indicate VITAL AGENCY LLC is practicing under active NPI?
Directory data currently reports VITAL AGENCY LLC as active.
What is VITAL AGENCY LLC best known for clinically?
Directory data describes VITAL AGENCY LLC with In Home Supportive Care Agency. Clinical services aligned with this taxonomy classification.
What address line appears for VITAL AGENCY LLC?
VITAL AGENCY LLC's geographic hint is Blaine, Minnesota in our summary view.
Is the information about VITAL AGENCY LLC up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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