Active NPI
Healing Center Community Care LLC
- In Home Supportive Care Agency
- Fargo, ND
National Provider Identifier
1124963947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Khaliyah Marshall
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Behavior Technician | 106S00000X | |||
| Rehabilitation Registered Nurse | 163WR0400X | |||
| In Home Supportive Care Agency | 253Z00000X | Primary | ||
| Home Health Aide | 374U00000X | |||
| Nurse's Aide | 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 DirectoryPractitioners & 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
- Jennifer Hayes, CPO
- Gary Donald Haynie, MD
- Mikaela Leigh Hazard I, DDS
- Melissa Marie Headley, AU.D
- Healing Arts Chiropractic, PC
- Healing Circle Psychiatric Services PLLC
- Healing With Hyperbarics of North Dakota PLLC
- Healthy Living Solutions
- Hearing Solutions, Inc.
- Heart & Home Care (Heart & Home Care LLC)
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.