The Manor of Fond Du Lac LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

THE MANOR OF FOND DU LAC LLC

Practice address

517 E Division St
Fond Du Lac, WI 54935-3735

Phone

(920) 921-6800

NPI assigned

Oct 25, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Aaron Topper

Title

Owner

Phone

(847) 983-4860

Specialties & licenses 1

Addresses

Other names 3

• Avina Living on Division Doing business as
• Avina on Division Doing business as
• Majestic Manor Other name

Electronic endpoints 2

Tax ID family

Ability Network Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Manor of Fond Du Lac LLC

  • Skilled Nursing Facility
  • Fond Du Lac, WI
  • NPI 1376210849
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780531200000",
    "number": "1477217669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 E DIVISION ST",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549353735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 E DIVISION ST",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549353735",
            "telephone_number": "920-921-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MANOR OF FOND DU LAC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-25",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A",
        "authorized_official_last_name": "TOPPER",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-983-4860"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "PCC",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "517 E Division St",
            "city": "Fond Du Lac",
            "state": "WI",
            "country_code": "US",
            "postal_code": "549353735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Avina Living on Division",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Avina on Division",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Majestic Manor",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Majestic Manor",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Janet J Teske, APNP
• May N Thao, RN
• The Arc of Fond Du Lac
• The Arc of Fond Du Lac
• The Arc of Fond Du Lac Inc
• Patricia Jean Theabo
• Thedacare Regional Medical Center - Appleton, Inc.
• Emily Jean Thiel, RD
• Jeffrey S Thiel, PT
• Jonathan Thomas

• Assisted Living Facility in Fond Du Lac, WI
• Providers in Fond Du Lac, WI by specialty
• Assisted Living Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.