Active NPI
Sabra Wisconsin Operations II, LLC
- Assisted Living Facility
- Pewaukee, WI
National Provider Identifier
1205767928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- SABRA WISCONSIN OPERATIONS II, LLC
- Practice address
- N26W26511 College Ave
Pewaukee, WI 53072 - Phone
- (262) 691-7400
- NPI assigned
- May 29, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amber Rogotzlle
- Title
- President
- Phone
- (703) 537-5700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
N26W26511 College Ave
Pewaukee, WI 53072
Mailing address
N26W26511 College Ave
Pewaukee, WI 53072
Phone (262) 691-7400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100411668 | Medicaid | WI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780012800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780012800000",
"number": "1205767928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N26W26511 COLLEGE AVE",
"city": "PEWAUKEE",
"state": "WI",
"postal_code": "53072",
"telephone_number": "262-691-7400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N26W26511 COLLEGE AVE",
"city": "PEWAUKEE",
"state": "WI",
"postal_code": "53072",
"telephone_number": "262-691-7400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SABRA WISCONSIN OPERATIONS II, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-05-29",
"last_updated": "2026-05-29",
"status": "A",
"authorized_official_last_name": "ROGOTZLLE",
"authorized_official_first_name": "AMBER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "703-537-5700"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100411668",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pewaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.