Organization Active NPI

Healing Center Community Care LLC

  • In Home Supportive Care Agency
  • Fargo, ND
National Provider Identifier
1124963947
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HEALING CENTER COMMUNITY CARE LLC
Practice address
536 45TH St S Apt 202
Fargo, ND 58103-0903
Phone
(701) 540-1191
NPI assigned
Apr 20, 2026
Last updated
Jun 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Authorized official

Name
Khaliyah MarshallNPI 1225751126
Title
Owner
Phone
(701) 540-1191

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Behavior TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 106S00000X
Rehabilitation Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WR0400X
In Home Supportive Care Agency 253Z00000X Primary
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X
Nurse's AideGroup: 193200000X MULTI-SPECIALTY GROUP 376K00000X

Addresses

Primary practice location

536 45TH St S Apt 202
Fargo, ND 58103-0903

Mailing address

536 45TH St S Apt 202
Fargo, ND 58103-0903
Phone (701) 540-1191

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1776643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780531200000",
    "number": "1124963947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "536 45TH ST S APT 202",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581030903",
            "telephone_number": "701-540-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 45TH ST S APT 202",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581030903",
            "telephone_number": "701-540-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING CENTER COMMUNITY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-20",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "KHALIYAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-540-1191"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.