Healthcare Provider Details

I. General information

NPI: 1205767928
Provider Name (Legal Business Name): SABRA WISCONSIN OPERATIONS II, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

N26W26511 COLLEGE AVE
PEWAUKEE WI
53072
US

IV. Provider business mailing address

N26W26511 COLLEGE AVE
PEWAUKEE WI
53072
US

V. Phone/Fax

Practice location:
  • Phone: 262-691-7400
  • Fax:
Mailing address:
  • Phone: 262-691-7400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: AMBER ROGOTZLLE
Title or Position: PRESIDENT
Credential:
Phone: 703-537-5700