WINGS – NPI #1124212873
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility 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.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

WINGS is a substance abuse rehabilitation facility located in LITCHFIELD, MN. NPPES has assigned the NPI number 1124212873 to WINGS on September 05, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “WINGS” is a dba name, the actual legal business name for this organization is JACY 2, LLC. The primary taxonomy selected by this provider is 3245S0500X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WINGS below.

NPI Profile for
JACY 2, LLC

NPI Number
1124212873
Enumeration Date

(about 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JACY 2, LLC
Doing Business As (dba): WINGS
Primary location
319 CSAH #20
LITCHFIELD, MN 55355
Phone: (320) 255-9530 Fax:
Mailing address
1096 E 260TH ST
NEW PRAGUE, MN 56071-8880
Phone: (320) 255-9530 Fax:
Organization Subpart
No
Authorized Official
CARMEN WILSON
OWNER
Phone: (320) 255-9530
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
3245S0500X
- Substance Abuse Rehabilitation Facility / Substance Abuse Treatment, Children (Primary)		 MN 1047343

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.