THEDA CARE PEABODY MANOR
NPI 1265589303
Skilled Nursing Facility in Appleton, WI

Active since January 04, 2007
2600 S HERITAGE WOODS DR, APPLETON, WI 54915(920) 225-7764 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Theda Care Peabody Manor NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THEDA CARE PEABODY MANOR (NPI 1265589303) is a healthcare organization registered as a skilled nursing facility in Appleton, Wisconsin and active in the NPI registry since January 2007. The organization lists Toni Marie Radish, Physical Therapist, as its authorized official.

NPPES Registry Identity

NPI1265589303
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameTHEDA CARE PEABODY MANOR
Location Address2600 S HERITAGE WOODS DRAppleton, WI 54915-1408
Mailing AddressW7409 Redhawk DrAppleton, WI 54914-9153 · (920) 757-0190
Organization SubpartNo
Authorized OfficialToni Marie RadishPhysical Therapist · (920) 225-7764
Enumeration DateJanuary 4, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1265589303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in WI · 9771-24
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
2600 S HERITAGE WOODS DR, Appleton, WI 54915

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
2600 S HERITAGE WOODS DR
APPLETON, WI 54915
Occupational Therapist
2600 S HERITAGE WOODS DR
APPLETON, WI 54915
Skilled Nursing Facility
2600 S HERITAGE WOODS DR
APPLETON, WI 54915
Family Medicine
2600 S HERITAGE WOODS DR
APPLETON, WI 54915
Physical Therapist
2600 S HERITAGE WOODS DR
APPLETON, WI 54915
Nurse Practitioner
2600 S HERITAGE WOODS DR
APPLETON, WI 54915
Nurse Practitioner
2600 S HERITAGE WOODS DR
APPLETON, WI 54915
Speech-Language Pathologist
2600 S HERITAGE WOODS DR
APPLETON, WI 54915

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theda Care Peabody Manor's NPI number?

The NPI number for Theda Care Peabody Manor is 1265589303. It was assigned to this organization in the NPPES registry on January 4, 2007.

Where is Theda Care Peabody Manor located?

Theda Care Peabody Manor is located at 2600 S Heritage Woods Dr, Appleton, WI 54915. The listed phone number is (920) 225-7764.

What is Theda Care Peabody Manor's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Theda Care Peabody Manor was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.