Agility Advantage Home Healthcare LLC
NPI 1083172985ActiveOrganization· Assisted Living Facility· Brooklyn Park, MN
Assisted Living Facility in Brooklyn Park, Minnesota, registered in NPPES in March 2019. The authorized official on file is Dimitra Tumba Kaulu, LRT, CRT, Owner/Manager.
Overview
| NPI | 1083172985 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 10, 2019 |
| Last updated in NPPES | Mar 10, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Assisted Living Facility Primary | 310400000X | — | — |
| Home Health | 251E00000X | — | — |
| Nursing Care | 251J00000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
| Home Delivered Meals | 332U00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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