Organization Active NPI

Manor Park, Inc

  • Skilled Nursing Facility
  • Midland, TX
National Provider Identifier
1912974866
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
116128 Issued in TX
Legal business name
MANOR PARK, INC
Practice address
2208 N Loop 250 W
Midland, TX 79707-6011
Phone
(432) 689-9898
Fax
(432) 694-2551
NPI assigned
Feb 28, 2006
Last updated
Jan 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Authorized official

Name
Mr. Stephen Nelson
Title
President & Chief Executive Officer
Phone
(432) 689-9898

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Alzheimer Center (Dementia Center) 311500000X 116128 TX
Skilled Nursing Facility 314000000X 116128 TX Primary

Addresses

Primary practice location

2208 N Loop 250 W
Midland, TX 79707-6011

Mailing address

2208 N Loop 250 W
Midland, TX 79707-6011
Phone (432) 689-9898

Other identifiers 1

IdentifierTypeStateIssuer
000538401MedicaidTX

Other names 1

  • Mabee Healthcare Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040326000592 TX Part A Provider - Skilled Nursing Facility 1355233149 Practice locations: Midland, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1912974866. Details of each certification follow.

Skilled nursing facility certification: CCN 676015

Legal name
MANOR PARK, INC
Doing business as
MABEE HEALTHCARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Mar 31, 2004
Last certification
Dec 5, 2024
Beds
44
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Jun 14, 1963 in TX
Enrollment address
2208 N Loop 250 W
Midland, TX 79707-6011
Nursing home name
MABEE HEALTH CARE CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Mabee Health Care CenterCCN 676015 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Mar 31, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4440.6 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 23

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

NameRoleSinceShare
Individual Trustee of the SNF Jun 1, 2017
Individual Trustee of the SNF Jun 1, 2020
Manor Park, Inc Organization Non-profit Adp of the SNF Mar 30, 2004
Direct Ownership Interest Mar 30, 2004 100%
Individual Trustee of the SNF Jun 1, 2024
Stephen Nelson Individual Corporate OfficerPresident & Ceo Sep 1, 2021
Adp of the SNF Sep 1, 2021
Jeffrey Hunter Atkins Individual Adp of the SNF Aug 1, 2021
Individual Trustee of the SNF Jun 1, 1992
Individual Trustee of the SNF Jun 1, 2024
Individual Trustee of the SNF Jun 1, 2022
Individual Trustee of the SNF Jun 1, 2022
Individual Trustee of the SNF Jun 1, 2018
Individual Trustee of the SNF Jun 1, 2020
Individual Trustee of the SNF Jun 1, 2020
Melissa Holbrooks Individual Operational/Managerial ControlAdministrator Sep 1, 2021
Adp of the SNF Sep 1, 2021
Individual Trustee of the SNF Jun 1, 2016
Individual Trustee of the SNF Jun 1, 2021
Individual Trustee of the SNF Jun 1, 2012
Individual Trustee of the SNF Jun 1, 2014
Individual Trustee of the SNF Jun 1, 2023
Individual Trustee of the SNF Jun 1, 2002
Tina Ballard Individual Corporate OfficerCfo Jul 2, 2018
Adp of the SNF Jul 2, 2018
Individual Trustee of the SNF Jun 1, 2020
Individual Trustee of the SNF Jun 1, 2021

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 4

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": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1912974866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 N LOOP 250 W",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797076011",
            "telephone_number": "432-689-9898",
            "fax_number": "432-694-2551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2208 N LOOP 250 W",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797076011",
            "telephone_number": "432-689-9898",
            "fax_number": "432-694-2551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANOR PARK, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-28",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT & CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "432-689-9898",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "TX",
            "license": "116128",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "116128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000538401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mabee Healthcare",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Mabee Healthcare",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Midland, TX

Sources for this page

Verify at the official NPI Registry.