Tabor Manor Care Center Inc

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

Legal business name

TABOR MANOR CARE CENTER INC

Practice address

209 Main St
Tabor, IA 51653

Phone

(712) 629-2645

Fax

(712) 629-6665

NPI assigned

Sep 21, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Leonard B Worcester

Title

Administrator

Phone

(712) 629-2645

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1710085626. Details of each certification follow.

• CCN 165546 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 165546

Legal name

TABOR MANOR CARE CENTER INC

Doing business as

TABOR MANOR CARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Apr 1, 2004

Last certification

Feb 10, 2025

Beds

46

Ownership / control type

Corporation

Organization structure

CorporationProprietary

Incorporated

Jul 17, 1975 in IA

Enrollment address

209 Main St
Tabor, IA 51653-2061

Nursing home name

TABOR MANOR CARE CENTER

Listed as

Tabor Manor Care CenterCCN 165546 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

3 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Apr 1, 2004

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

4641.5 residents per day on average

Penalties (3 years)

5Fines totaling $17,996

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

All disclosed owners & managing parties 2

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

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Michael Ourada, MD

  • Family Medicine Physician
  • Hamburg, IA
  • NPI 1427164789

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1710085626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 180",
            "address_2": "209 MAIN ST",
            "city": "TABOR",
            "state": "IA",
            "postal_code": "51653",
            "telephone_number": "712-629-2645",
            "fax_number": "712-629-6665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 MAIN ST",
            "city": "TABOR",
            "state": "IA",
            "postal_code": "51653",
            "telephone_number": "712-629-2645",
            "fax_number": "712-629-6665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TABOR MANOR CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "WORCESTER",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "712-629-2645",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "360577",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0803957",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nursing Facility/Intermediate Care Facility in Tabor, IA
• Providers in Tabor, IA by specialty
• Nursing Facility/Intermediate Care Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.

Verify at the official NPI Registry.