Peabody Manor in Appleton - Skilled Nursing Facility
Peabody Manor - NPI 1760650287
Peabody Manor is a Skilled Nursing Facility in Appleton, Wisconsin. Peabody Manor practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Peabody Manor is 1760650287. The last update date is 2008-02-19.
Peabody Manor's current location address is 2600 S Heritage Woods Dr, Appleton, Wisconsin. You can contact this provider via phone number 9202257764. The mailing address for Peabody Manor is 2600 S Heritage Woods Dr, Appleton, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Peabody Manor |
|---|---|
| Address | 2600 S Heritage Woods Dr, Appleton, Wisconsin |
| Phone Number | 9202257764 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | REHAD DIRE |
|---|---|
| Authorized Official Name | Jean-Pierre Julia |
| Credentials | PT |
| Telephone Number | 9202257785 |
NPI Number Detail
| NPI Number | 1760650287 |
|---|---|
| Provider Enumeration Date | 2008-02-19 |
| Last Updated Date | 2008-02-19 |
Provider Mailing Address Detail
| Address | 2600 S Heritage Woods Dr |
|---|---|
| City | Appleton |
| State | Wisconsin (WI) |
| Post Code | 549151408 |
| Phone Number | 9202257764 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 538-019 |
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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 serv |
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What is the unique 10-digit identification code issued to Peabody Manor by the Centers for Medicare & Medicaid Services?
The Peabody Manor has been assigned the NPI (National Provider Identifier) 1760650287 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Peabody Manor?
The Peabody Manor is situated at 2600 S Heritage Woods Dr, in the city of Appleton, state of WI, with the zip code 549151408.
What is Peabody Manor's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Peabody Manor is Skilled Nursing Facility, and the taxonomy code that categorizes this field of expertise is 314000000X.
On what date did the Peabody Manor receive its 1760650287 assignment from the Centers for Medicare & Medicaid Services?
The Peabody Manor was assigned its 1760650287 by the Centers for Medicare & Medicaid Services on 2008-02-19.
When was the information related to Peabody Manor most recently updated or refreshed?
The details pertaining to the Peabody Manor, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-02-19.