Collective Care Services LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

COLLECTIVE CARE SERVICES LLC

Practice address

4357 13TH Ave S Ste 107
Fargo, ND 58103-7506

Phone

(701) 997-9157

NPI assigned

Jun 26, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Eric C Harris, BSHA, NCMANPI 1255035549

Title

Ceo

Phone

(240) 535-7188

Specialties & licenses 5

Addresses

Tax ID family

Collective Care Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Collective Home Care Services LLP

  • In Home Supportive Care Agency
  • Moorhead, MN
  • NPI 1487543617
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eric C Harris, CCMA, BSHA

  • Non-emergency Medical Transport (VAN)
  • Fargo, ND
  • NPI 1255035549

  In Home Supportive Care

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784160000000",
    "number": "1023794872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4357 13TH AVE S STE 107",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581037506",
            "telephone_number": "701-997-9157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4357 13TH AVE S STE 107",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581037506",
            "telephone_number": "701-997-9157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLECTIVE CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-26",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-535-7188",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BSHA, NCMA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roger Kent Coffey, D.D.S.
• Kimberly Elaine Coffman
• Sarah Coffrin, ST
• James J Colbert, D.D.S.
• Aimee Rox Coleman, MD
• College of Pharmacy, Nursing, and Allied Sciences
• Abigail Lyn College, MS
• Kathryn Elizabeth College, OTR/L
• Scott College
• Constance Collette, LCSW

• In Home Supportive Care Agency in Fargo, ND
• Providers in Fargo, ND by specialty
• In Home Supportive Care Agency in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.