Thedacare, Incorporated

Organization Active NPI Skilled Nursing Facility · Appleton, WI

NPI 1215084207 · NPPES record last updated Jan 2, 2024

Key facts

NPI
1215084207
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
Legal business name
THEDACARE, INCORPORATED
Practice address
2600 S Heritage Woods Dr
Appleton, WI 54915-1408
Phone
(920) 225-7764
NPI assigned
Jan 4, 2007
Organization subpart
No

Authorized official

Name
William Flett
Title
Cfo
Phone
(920) 454-4013

Corporate family (same tax ID) 19

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Novus Laboratories (20 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X WI Yes

Addresses

Primary practice location

2600 S Heritage Woods Dr
Appleton, WI 54915-1408

Mailing address

3 Neenah Ctr
Neenah, WI 54956-3070
Phone (920) 225-7771

Other names

  • Peabody Manor Doing business as

Other providers in Appleton, WI

All providers in Appleton, WI · Skilled Nursing Facility in Wisconsin

Sources for this page

Verify at the official NPI Registry.