Active NPI
Manor Park, Inc
- Skilled Nursing Facility
- Midland, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 116128
- 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, 2025
- 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
- Mr. Stephen Nelson
- Title
- President & Chief Executive Officer
- Phone
- (432) 689-9898
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000538401 | Medicaid | TX |
Other names 1
- Mabee Healthcare
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Mar 31, 2004
- Medicare certification status
- Active
- Certified beds
- 44
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Trustee of the SNF | Jun 1, 2017 | ||
| Trustee of the SNF | Jun 1, 2020 | ||
| Manor Park, Inc | Adp of the SNF | Mar 30, 2004 | |
| Direct Ownership Interest | Mar 30, 2004 | 100% | |
| Trustee of the SNF | Jun 1, 2024 | ||
| Stephen Nelson | Corporate Officer | Sep 1, 2021 | |
| Adp of the SNF | Sep 1, 2021 | ||
| Jeffrey Hunter Atkins | Adp of the SNF | Aug 1, 2021 | |
| Trustee of the SNF | Jun 1, 1992 | ||
| Trustee of the SNF | Jun 1, 2024 | ||
| Trustee of the SNF | Jun 1, 2022 | ||
| Trustee of the SNF | Jun 1, 2022 | ||
| Trustee of the SNF | Jun 1, 2018 | ||
| Trustee of the SNF | Jun 1, 2020 | ||
| Trustee of the SNF | Jun 1, 2020 | ||
| Melissa Holbrooks | Operational/Managerial Control | Sep 1, 2021 | |
| Adp of the SNF | Sep 1, 2021 | ||
| Trustee of the SNF | Jun 1, 2016 | ||
| Trustee of the SNF | Jun 1, 2021 | ||
| Trustee of the SNF | Jun 1, 2012 | ||
| Trustee of the SNF | Jun 1, 2014 | ||
| Trustee of the SNF | Jun 1, 2023 | ||
| Trustee of the SNF | Jun 1, 2002 | ||
| Tina Ballard | Corporate Officer | Jul 2, 2018 | |
| Adp of the SNF | Jul 2, 2018 | ||
| Trustee of the SNF | Jun 1, 2020 | ||
| 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.
-
- Internal Medicine Physician
- Midland, TX
- NPI 1760860720
Affiliated clinicians 4
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Family Medicine) Physician
- Odessa, TX
- NPI 1962722009
Nursing home
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.