Active NPI
Awe Kualawaache Care Center
- Skilled Nursing Facility
- Crow Agency, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marie Weasel, RN
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 310318 | Medicaid | MT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Other
- 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 Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Individual
- Certified
- Jun 9, 1998
- Medicare certification status
- Active
- Certified beds
- 40
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 27D0958367 | Awe Kualawaache Care Center | Certificate of waiver | May 10, 2027 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Crow Tribe of Indians | 5% Or Greater Direct Ownership Interest | Apr 1, 1998 | 100% |
| Health Management Services, LLC | Operational/Managerial Control | Mar 10, 2010 | 100% |
| Paul Benson Little Light | W-2 Managing Employee | 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.
-
- Emergency Registered Nurse
- Browning, MT
- NPI 1114131877
-
- Registered Nurse
- Crow Agency, MT
- NPI 1528833753
-
- Family Medicine Physician
- Glasgow, MT
- NPI 1649572355
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.