Active NPI
Northern Montana Care Center Inc
- Skilled Nursing Facility
- Havre, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- NORTHERN MONTANA CARE CENTER INC
- Practice address
- 24 13TH Street
Havre, MT 59501 - Phone
- (406) 265-2238
- Fax
- (406) 265-9046
- NPI assigned
- Feb 10, 2006
- Reactivated
- Mar 26, 2024
- 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
- Kevin Harada, M.D.
- Title
- President/Ceo
- Phone
- (406) 265-2211
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 10914 | MT | |
| Skilled Nursing Facility | 314000000X | 10914 | MT | |
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
24 13TH Street
Havre, MT 59501
Mailing address
P.O. Box 1231
Havre, MT 59501
Phone (406) 262-1302
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0310323 | Medicaid | MT | |
| 000041152 | Other | MT | BLUE CROSS BLUE SHIELD |
Other names 1
- Northern Montana Care Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240524003617 | MT | Part A Provider - Skilled Nursing Facility | 9032551783 | Practice locations: Havre, MT |
Skilled nursing facility certification: CCN 275112
- Legal name
- NORTHERN MONTANA CARE CENTER INC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Aug 22, 1985
- Last certification
- Aug 1, 2024
- Beds
- 135
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Enrollment address
- 24 13TH St
Havre, MT 59501-5222 - Nursing home name
- NORTHERN MONTANA CARE CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Northern Montana Care Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Aug 22, 1985
- Medicare certification status
- Active
- Certified beds
- 135
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 |
|---|---|---|---|
| 27D2189413 | Northern Montana Care Center | Certificate of waiver | Jul 29, 2028 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 15
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 |
|---|---|---|---|
| David Leeds | Corporate Officer | Oct 22, 1991 | |
| Adam Derby | Operational/Managerial Control | Mar 1, 2024 | |
| Adp of the SNF | Mar 18, 2025 | ||
| Richard G. Stevens | Corporate Director | Mar 1, 2024 | |
| Miles Hamilton | Corporate Director | Mar 1, 2024 | |
| Andrew Carlson | Corporate Director | Mar 1, 2024 | |
| Debra Healy | Corporate Director | Mar 1, 2024 | |
| Christen Obresley | Corporate Officer | Oct 5, 2016 | |
| Operational/Managerial Control | Mar 1, 2024 | ||
| Kirsten Kammerzell | Corporate Director | Mar 1, 2024 | |
| Karen E Lien | Corporate Director | Mar 1, 2024 | |
| David C Henry | Corporate Officer | Apr 1, 1994 | |
| Operational/Managerial Control | Mar 1, 2024 | ||
| Kevin a Harada | Corporate Director | Mar 1, 2024 | |
| Operational/Managerial Control | Mar 1, 2024 | ||
| Adp of the SNF | Mar 18, 2025 | ||
| Northern Montana Health Care Inc | 5% Or Greater Direct Ownership Interest | Mar 1, 2024 | 100% |
| 5% Or Greater Mortgage Interest | Mar 1, 2024 | ||
| Operational/Managerial Control | Mar 1, 2024 | ||
| Adp of the SNF | Mar 1, 2024 | ||
| Jennifer Patrick | Corporate Director | Mar 1, 2024 | |
| Northern Montana Care Center Inc | 5% Or Greater Direct Ownership Interest | Mar 1, 2004 | 100% |
| Paul Tuss | Corporate Director | Mar 1, 2024 |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Havre, MT
- NPI 1760709661
Adp of the SNF, Corporate Director, Operational/Managerial Control
Practitioners & affiliated clinicians
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139529600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759968000000",
"number": "1235102013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 1231",
"city": "HAVRE",
"state": "MT",
"postal_code": "59501",
"telephone_number": "406-262-1302",
"fax_number": "406-265-1651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 13TH STREET",
"city": "HAVRE",
"state": "MT",
"postal_code": "59501",
"telephone_number": "406-265-2238",
"fax_number": "406-265-9046"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHERN MONTANA CARE CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-10",
"last_updated": "2025-10-09",
"certification_date": "2025-10-09",
"deactivation_date": "2024-03-07",
"reactivation_date": "2024-03-26",
"status": "A",
"authorized_official_last_name": "HARADA",
"authorized_official_first_name": "KEVIN",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "406-265-2211",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "MT",
"license": "10914",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MT",
"license": "10914",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0310323",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "000041152",
"state": "MT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Northern Montana Care Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Northern Montana Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Havre, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.