DIMENSIONS LIVING GREEN BAY, LLC
NPI 1447028261
Assisted Living Facility in Green Bay, WI

Active since December 12, 2023CLIA 52D1105998 · Waiver
246 BERGER ST, GREEN BAY, WI 54302(920) 468-9174(920) 468-9176 Get Directions Write a Review

NPPES record last updated: December 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dimensions Living Green Bay, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIMENSIONS LIVING GREEN BAY, LLC (NPI 1447028261), doing business as Dimensions Living Green Bay, is a healthcare organization registered as an assisted living facility in Green Bay, Wisconsin and active in the NPI registry since December 2023. The organization holds a CLIA Waiver certificate valid through October 1, 2027 and lists Amber Rogotzke, President, as its authorized official.

NPPES Registry Identity

NPI1447028261
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameDIMENSIONS LIVING GREEN BAY, LLC
Location Address246 BERGER STGreen Bay, WI 54302-3856
Mailing Address246 Berger StGreen Bay, WI 54302-3856 · (920) 468-9174 · Fax (920) 468-9176
Fax(920) 468-9176
Organization SubpartNo
Authorized OfficialAmber RogotzkePresident · (763) 537-5700
Enumeration DateDecember 12, 2023
NPI 1447028261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
246 BERGER ST, Green Bay, WI 54302

Other Names 1

Doing Business AsDimensions Living Green Bay

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D1105998

Dimensions Living Green Bay · Green Bay, WI
Active · expires Oct 1, 2027
CLIA Number52D1105998
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 2, 2025
Certificate Expiration DateOctober 1, 2027
Laboratory DirectorMs. Catherine M. Blaser
Laboratory Phone(920) 468-9174
Laboratory LocationDimensions Living Green Bay246 Berger St, Green Bay, WI 54302
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 52D2263738

Demensions Living Green Bay · Green Bay, WI
Expired · Jul 4, 2026
CLIA Number52D2263738
Laboratory TypeRcac
Certificate Effective DateJuly 5, 2024
Certificate Expiration DateJuly 4, 2026
Laboratory DirectorWendy L. Ambrose
Laboratory Phone(920) 468-9174
Laboratory LocationDemensions Living Green Bay246 Berger St, Green Bay, WI 54302
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dimensions Living Green Bay, LLC's NPI number?

The NPI number for Dimensions Living Green Bay, LLC is 1447028261. It was assigned to this organization in the NPPES registry on December 12, 2023. The provider is doing business as Dimensions Living Green Bay.

Where is Dimensions Living Green Bay, LLC located?

Dimensions Living Green Bay, LLC is located at 246 Berger St, Green Bay, WI 54302. The listed phone number is (920) 468-9174.

What is Dimensions Living Green Bay, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Dimensions Living Green Bay, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D1105998) is associated with this NPI, valid through October 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dimensions Living Green Bay, LLC was last updated on December 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.