RIVERSEDGE
NPI 1346455714
Community Based Residential Treatment Facility, Mental Illness in Cold Spring, MN

Q: What is Jacy, LLC's NPI number?

The NPI number for Jacy, LLC is 1346455714. It was assigned to this organization in the NPPES registry on May 11, 2007. The provider is doing business as Riversedge.

Q: What is Jacy, LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

Q: When was this NPI record last updated?

The NPPES record for Jacy, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 11, 2007

614 EMMAS DR SE, COLD SPRING, MN 56320(320) 685-9847 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Riversedge NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RIVERSEDGE (NPI 1346455714) is a healthcare organization registered as a community based residential treatment facility, mental illness in Cold Spring, Minnesota and active in the NPI registry since May 2007. The organization lists Carmen Marie Wilson, Owner, as its authorized official.

NPPES Registry Identity

NPI1346455714

Entity TypeOrganization

Primary Taxonomy320800000X

Legal Business NameJACY, LLC

Location Address614 EMMAS DR SECold Spring, MN 56320-1454

Mailing Address600 25th Ave S Ste 201Saint Cloud, MN 56301-4866 · (320) 255-9530 · Fax (320) 251-2996

Phone(320) 685-9847

Organization SubpartNo

Authorized OfficialCarmen Marie WilsonOwner · (320) 255-9530

Enumeration DateMay 11, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1346455714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities

Taxonomy Code320800000X

License✔ Licensed in MN · 10435532AFC

Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

614 EMMAS DR SE, Cold Spring, MN 56320

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Other Names 1

Doing Business AsRiversedge

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacy, LLC's NPI number?

The NPI number for Jacy, LLC is 1346455714. It was assigned to this organization in the NPPES registry on May 11, 2007. The provider is doing business as Riversedge.

Where is Jacy, LLC located?

Jacy, LLC is located at 614 Emmas Dr SE, Cold Spring, MN 56320. The listed phone number is (320) 685-9847.

What is Jacy, LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Jacy, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.