Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Theda Care Peabody Manor

Organization Skilled Nursing Facility · NPI 1265589303

Theda Care Peabody Manor is a Skilled Nursing Facility in Appleton, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007

Practice location Address checks out

2600 S Heritage Woods Dr
Appleton, WI 54915-1408
Phone: (920) 225-7764
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 9771-24 (WI)

Record details

NPI number1265589303
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Toni Radish — Physical Therapist · (920) 225-7764
NPI enumeratedJanuary 4, 2007
Last updated in NPPESAugust 22, 2020
Mailing addressW7409 Redhawk Dr, Appleton, WI 54914-9153

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