Organization Active NPI

Awe Kualawaache Care Center

  • Skilled Nursing Facility
  • Crow Agency, MT
National Provider Identifier
1205926128
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
AWE KUALAWAACHE CARE CENTER
Practice address
10131 South Heritage Rd
Crow Agency, MT 59022
Phone
(406) 638-9111
Fax
(406) 638-9119
NPI assigned
Oct 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Authorized official

Name
Marie Weasel, RNNPI 1114131877
Title
Administrator
Phone
(406) 638-9111

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

10131 South Heritage Rd
Crow Agency, MT 59022

Mailing address

PO Box 999
Crow Agency, MT 59022
Phone (406) 638-9111

Other identifiers 1

IdentifierTypeStateIssuer
310318MedicaidMT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060130000245 MT Part A Provider - Skilled Nursing Facility 5395759393 Practice locations: Crow Agency, MT

Skilled nursing facility certification: CCN 275153

Legal name
AWE KUALAWAACHE CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 9, 1998
Last certification
May 8, 2025
Beds
40
Ownership / control type
Individual
Organization structure
OtherNon-profit
Incorporated
Apr 1, 1998 in MT
Enrollment address
10131 S Heritage Rd
Crow Agency, MT 59022-7091
Nursing home name
AWE KUALAWAACHE CARE CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Awe Kualawaache Care CenterCCN 275153 · All quality measures
Overall star rating
4 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
Jun 9, 1998
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4023.7 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
27D0958367Awe Kualawaache Care Center10131 S Heritage Rd, Crow Agency, MT 59022Certificate of waiverMay 10, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Crow Tribe of Indians Organization, Crow Agency, MT 5% Or Greater Direct Ownership Interest Apr 1, 1998 100%
Health Management Services, LLC Organization, Billings, MT LLC Operational/Managerial Control Mar 10, 2010 100%
Paul Benson Little Light Individual W-2 Managing EmployeeNursing Home Administrator May 15, 2015

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738886400000",
    "number": "1205926128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 999",
            "city": "CROW AGENCY",
            "state": "MT",
            "postal_code": "59022",
            "telephone_number": "406-638-9111",
            "fax_number": "406-638-9119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10131 SOUTH HERITAGE RD",
            "city": "CROW AGENCY",
            "state": "MT",
            "postal_code": "59022",
            "telephone_number": "406-638-9111",
            "fax_number": "406-638-9119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWE KUALAWAACHE CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A",
        "authorized_official_last_name": "WEASEL",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "406-638-9111",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "310318",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crow Agency, MT

Sources for this page

Verify at the official NPI Registry.