# COLLECTIVE CARE SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023794872
- **Authorized official:** MR. ERIC C HARRIS BSHA, NCMA (CEO)
- **Authorized official phone:** (240) 535-7188

## Contact information

- **Practice address:** 4357 13TH AVE S STE 107, FARGO, ND 58103-7506
- **Practice address phone:** (701) 997-9157
- **Mailing address:** 4357 13TH AVE S STE 107, FARGO, ND 58103-7506
- **Mailing address phone:** (701) 997-9157

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 315P00000X | Intellectual Disabilities Intermediate Care Facility | — | NULL | — |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |
| 3747P1801X | Personal Care Attendant | — | NULL | — |
| 3747P1801X | Personal Care Attendant | — | — | — |

## Other

- **Enumeration date:** 06/26/2023
- **Last updated:** 07/16/2026