JACY II LLC NPI 1760929574

NPI Information

  • NPI: 1760929574
  • Provider Name: JACY II LLC
  • Classification: Substance Abuse Rehabilitation Facility - 3245S0500X
  • Specialization: Substance Abuse Treatment, Children
  • Entity Type: Organization
  • Doing Business As: WINGS
  • Address: 1326 E RIPLEY ST
    LITCHFIELD, MN
    ZIP 55355
  • Phone: (320) 593-0440

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NPI Details

JACY II LLC is a substance abuse treatment and children substance abuse rehabilitation facility in Litchfield, MN. The provider is a facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. JACY II LLC NPI is 1760929574. The provider is registered as an organization entity type.
The provider Is Doing Business As Wings.

The provider's business location address is:

1326 E RIPLEY ST
LITCHFIELD, MN
ZIP 55355-525
Phone: (320) 593-0440
Fax: (320) 593-0442

The provider's authorized official is Mattie J Maumgaratner .
The authorized official title is Administrator and has the following contact phone number (320) 593-0440.

The enumeration date for this NPI number is 1/31/2017 and was last updated on 1/31/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, Children010872752MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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