PEABODY MANOR
NPI 1326079757
Skilled Nursing Facility in Appleton, WI

Active since July 05, 2006CLIA 52D0695003 · Waiver
2600 S HERITAGE WOODS DR, APPLETON, WI 54915(920) 738-3000(920) 225-7791 Get Directions Write a Review

NPPES record last updated: January 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 2, 2024, Dec 13, 2022 (2 updates tracked since 2022).

About Peabody Manor NPPES

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

PEABODY MANOR (NPI 1326079757) is a healthcare organization registered as a skilled nursing facility in Appleton, Wisconsin and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists William Flett, Cfo, as its authorized official.

NPPES Registry Identity

NPI1326079757
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameTHEDACARE, INCORPORATED
Location Address2600 S HERITAGE WOODS DRAppleton, WI 54915-1408
Mailing Address2600 S Heritage Woods DrAppleton, WI 54915-1408 · (920) 738-3000 · Fax (920) 225-7791
Fax(920) 225-7791
Organization SubpartNo
Authorized OfficialWilliam FlettCfo · (920) 454-4013
Enumeration DateJuly 5, 2006
Last NPPES UpdateJanuary 2, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2024
NPI 1326079757 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 · 2622
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 Names 1

Doing Business AsPeabody Manor

Other Identifiers 1

Medicaid20188400WI

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D0695003

Peabody Manor Inc · Appleton, WI
Active · expires Aug 31, 2026
CLIA Number52D0695003
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorMs. Cynthia R. Grindheim
Laboratory Phone(920) 738-3000
Laboratory LocationPeabody Manor Inc2600 S Heritage Woods Dr, Appleton, WI 54915
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Thedacare, Incorporated's NPI number?

The NPI number for Thedacare, Incorporated is 1326079757. It was assigned to this organization in the NPPES registry on July 5, 2006. The provider is doing business as Peabody Manor.

Where is Thedacare, Incorporated located?

Thedacare, Incorporated is located at 2600 S Heritage Woods Dr, Appleton, WI 54915. The listed phone number is (920) 738-3000.

What is Thedacare, Incorporated's specialty?

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

Does Thedacare, Incorporated hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D0695003) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Thedacare, Incorporated accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners, Network Health and Quartz and 1 other insurer list Thedacare, Incorporated as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Thedacare, Incorporated was last updated on January 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.