MANOR OF FOND DU LAC LLC
NPI 1376210849
Skilled Nursing Facility in Fond Du Lac, WI

Q: What is Manor Of Fond Du Lac LLC's NPI number?

The NPI number for Manor Of Fond Du Lac LLC is 1376210849. It was assigned to this organization in the NPPES registry on August 24, 2021. The provider is doing business as Avina on Division.

Q: What is Manor Of Fond Du Lac LLC's specialty?

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

Q: What quality rating does Manor Of Fond Du Lac LLC have?

CMS rates Manor Of Fond Du Lac 2 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

Active since August 24, 2021

2/5

Overall Rating

517 E DIVISION ST, FOND DU LAC, WI 54935(920) 921-6800 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 23, 2021, Dec 6, 2021, Aug 24, 2021 (3 updates tracked since 2021).

On this page

About Manor Of Fond Du Lac Llc NPPES

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

MANOR OF FOND DU LAC LLC (NPI 1376210849), doing business as Avina On Division, is a healthcare organization registered as a skilled nursing facility in Fond Du Lac, Wisconsin and active in the NPI registry since August 2021. The organization lists Aaron Topper, Member, as its authorized official.

NPPES Registry Identity

NPI1376210849

Entity TypeOrganization

Primary Taxonomy314000000X

Legal Business NameMANOR OF FOND DU LAC LLC

Location Address517 E DIVISION STFond Du Lac, WI 54935-3735

Mailing Address8150 Central Park AveSkokie, IL 60076-2974 · (847) 983-4860

Phone(920) 921-6800

Organization SubpartNo

Authorized OfficialAaron TopperMember · (847) 983-4860

Enumeration DateAugust 24, 2021

Last NPPES UpdateJune 11, 20263 updates tracked since enumeration

NPPES CertifiedJune 11, 2026

✔ NPI 1376210849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities

Taxonomy Code314000000X

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.

517 E DIVISION ST, Fond Du Lac, WI 54935

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Other Names 1

Doing Business AsAvina On Division

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Network Health.Insurance ›

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Manor Of Fond Du Lac (CMS certification number 525522), from CMS Care Compare.

Manor Of Fond Du Lac

Nursing home · Fond Du Lac, WI

2/5 CMS Overall Rating

OwnershipFor profit - Limited Liability company

CMS Certification Number525522

Certified Beds50 beds32 residents per day on average

Medicare & Medicaid Participant SinceAugust 24, 1993

Resident & Family CouncilResident council

Automatic sprinkler system

CMS Star Ratings

Quality Measures

Based on a select set of clinical quality measures.

2/5

Long-Stay Quality

Quality of care delivered to long-term residents.

3/5

Short-Stay Quality

Quality of care delivered to short-term and rehabilitation residents.

2/5

Staffing

Based on nursing staff hours relative to resident needs.

3/5

Weighted Health Inspection Score

Lower scores are better; the score summarizes deficiencies found on recent inspections.

78.67

Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing

nurse aide 2.06 · LPN 0.88 · RN 0.67

3.61 hrs per resident per day

Weekend Nurse Staffing

3.03 hrs per resident per day

Physical Therapist Staffing

0.02 hrs per resident per day

Nursing Staff Turnover

Share of nursing staff who left the facility within the past year.

44.1%

Administrators Who Have Left

In the past year.

Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents

Substantiated Complaints

Fines

1 totaling $9,750.00

Medicare Payment Denials

Total Penalties

Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 8

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

CORRINE JORDAN

Physical Therapist