Jacy 2, LLC
Jacy 2, LLC is a healthcare organization registered as Children's Substance Abuse Rehabilitation Facility in Litchfield, MN, holding Type 2 (organization) NPI 1124212873 since 2007. The authorized official on file is Carmen Wilson, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1124212873 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Jacy 2, LLC |
| Other name | <Unavail> |
| Practice address | 319 CSAH #20, Litchfield, MN, 55355 |
| Phone | 3202559530 |
| Enumeration date | 2007-09-05 |
| Last updated in NPPES | 2007-09-05 |
Authorized official
| Name | Carmen Wilson |
|---|---|
| Title | Owner |
| Phone | 3202559530 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3245S0500X | Children's Substance Abuse Rehabilitation Facility | Primary | 1047343 | MN |
Copy-ready billing details
Provider: Jacy 2, LLC NPI: 1124212873 Taxonomy: 3245S0500X (Children's Substance Abuse Rehabilitation Facility) Address: 319 CSAH #20, Litchfield, MN, 55355
Verify this record
Cross-check NPI 1124212873 against the authoritative CMS record: view Jacy 2, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Jacy 2, LLC?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-09-05.