Healthcare Provider Details
I. General information
NPI: 1669208385
Provider Name (Legal Business Name): DIMENSIONS MANAGEMENT OF NORTHERN NEVADA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/10/2024
Last Update Date: 07/08/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
36 BATTLE BORN WY
SPARKS NV
89431-5543
US
IV. Provider business mailing address
12900 WHITEWATER DRIVE SUITE 201
MINNEAPOLIS MN
55343-9407
US
V. Phone/Fax
- Phone: 775-827-2955
- Fax:
- Phone: 763-210-6731
- Fax: 763-210-6731
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
AMBER
ROGOTZKE
Title or Position: PRESIDENT
Credential:
Phone: 763-537-5700