Organization Active NPI

Dimensions Living Appleton, LLC

Doing business as Dimensions Living Appleton

  • Assisted Living Facility
  • Appleton, WI
National Provider Identifier
1992538763
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
DIMENSIONS LIVING APPLETON, LLC
Doing business as
Dimensions Living Appleton
Practice address
5800 Pennsylvania Ave
Appleton, WI 54914-7563
Phone
(920) 997-0725
Fax
(920) 734-7357
NPI assigned
Aug 26, 2024
Last updated
Aug 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

5800 Pennsylvania Ave
Appleton, WI 54914-7563

Mailing address

12900 Whitewater Drive
Suite 201
Minneapolis, MN 55343-9407
Phone (763) 210-6731

Other names 1

  • Dimensions Living Appleton Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D1016893Dimensions Living Appleton5800 Pennsylvania Ave, Appleton, WI 54914Certificate of waiverNov 8, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1992538763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12900 WHITEWATER DRIVE",
            "address_2": "SUITE 201",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "553439407",
            "telephone_number": "763-210-6731",
            "fax_number": "763-210-6731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 PENNSYLVANIA AVE",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549147563",
            "telephone_number": "920-997-0725",
            "fax_number": "920-734-7357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIMENSIONS LIVING APPLETON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-08-26",
        "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 Appleton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.