Dimensions Living Green Bay, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

DIMENSIONS LIVING GREEN BAY, LLC

Doing business as

Dimensions Living Green Bay

Practice address

246 Berger St
Green Bay, WI 54302-3856

Phone

(920) 468-9174

Fax

(920) 468-9176

NPI assigned

Dec 12, 2023

Last updated

Dec 12, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amber Rogotzke

Title

President

Phone

(763) 537-5700

Specialties & licenses 1

Addresses

Other names 1

• Dimensions Living Green Bay Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1702339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702339200000",
    "number": "1447028261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 BERGER ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543023856",
            "telephone_number": "920-468-9174",
            "fax_number": "920-468-9176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 BERGER ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543023856",
            "telephone_number": "920-468-9174",
            "fax_number": "920-468-9176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIMENSIONS LIVING GREEN BAY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-12",
        "last_updated": "2023-12-12",
        "status": "A",
        "authorized_official_last_name": "ROGOTZKE",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-537-5700"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dimensions Living Green Bay",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Celia M Diehl, LPN, NO. 307099-031
• William J Dierberg, M.D.
• Michael E Dietrich, MD
• Megan Dietze-Fiedler, M.D.
• Eileen Diller, APSW
• Sarah Katherine Dimezza, MD
• Kirk D Dimitris, MD
• Izabela J Ditchen, MD
• Ditty Chiropractic, LLC
• Marc David Ditty, D.C.

• Assisted Living Facility in Green Bay, WI
• Providers in Green Bay, 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 Dec 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.