Organization Active NPI

Northern Montana Care Center Inc

  • Skilled Nursing Facility
  • Havre, MT
National Provider Identifier
1235102013
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on Oct 9, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0310323MedicaidMT
000041152OtherMTBLUE CROSS BLUE SHIELD

Other names 1

  • Northern Montana Care Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationNon-profit
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 CenterCCN 275112
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Aug 22, 1985
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
13575.1 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
27D2189413Northern Montana Care Center24 13TH Street, Havre, MT 59501Certificate of waiverJul 29, 2028

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
David Leeds Individual Corporate OfficerVice Chairman Oct 22, 1991
Adam Derby Individual Operational/Managerial Control Mar 1, 2024
Adp of the SNF Mar 18, 2025
Richard G. Stevens Individual Corporate DirectorBoard Chair Mar 1, 2024
Miles Hamilton Individual Corporate DirectorBoard Member Mar 1, 2024
Andrew Carlson Individual Corporate DirectorBoard Member Mar 1, 2024
Debra Healy Individual Corporate DirectorBoard Member Mar 1, 2024
Christen Obresley Individual Corporate OfficerVice President of Regulator and Oct 5, 2016
Operational/Managerial Control Mar 1, 2024
Kirsten Kammerzell Individual Corporate DirectorBoard Member Mar 1, 2024
Karen E Lien Individual Corporate DirectorBoard Member Mar 1, 2024
David C Henry Individual Corporate OfficerPresident Apr 1, 1994
Operational/Managerial Control Mar 1, 2024
Kevin a Harada Individual Corporate DirectorBoard Member Mar 1, 2024
Operational/Managerial Control Mar 1, 2024
Adp of the SNF Mar 18, 2025
Northern Montana Health Care Inc Organization, Havre, MT Corporation 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 Individual Corporate DirectorBoard Member Mar 1, 2024
Northern Montana Care Center Inc Organization, Havre, MT Created for acquisition, Corporation, Medical provider/supplier, Non-profit 5% Or Greater Direct Ownership Interest Mar 1, 2004 100%
Paul Tuss Individual Corporate DirectorBoard Member 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.

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

Verify at the official NPI Registry.