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General NPI Number Information
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NPI Number | 1710838925
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Entity Type | Organization
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Legal Business Name | SABRA ILLINOIS OPERATIONS I, LLC
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Dates
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Enumeration Date | 02/04/2026
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 500 E MCNAIR ROAD
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City | WINNEBAGO
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State | IL
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Zip | 61088
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Country | US
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Telephone | 262-696-8252
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Fax |
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Provider Business Mailing Address
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Address Line | 12900 WHITEWATER DRIVE SUITE 201
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City | MINNEAPOLIS
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State | MN
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Zip | 55343
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Country | US
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Telephone | 763-537-5700
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Fax | 763-537-9200
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Authorized Official
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Title or Position | PRESIDENT
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Name | AMBER KAYE ROGOTZKE
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Credential |
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Telephone | 763-537-5700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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