MAGIC CITY ENTERPRISES – NPI #1457744724
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

MAGIC CITY ENTERPRISES is a residential treatment facility located in CHEYENNE, WY. NPPES has assigned the NPI number 1457744724 to MAGIC CITY ENTERPRISES on March 11, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 320600000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

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 MAGIC CITY ENTERPRISES below.

NPI Profile for
MAGIC CITY ENTERPRISES

NPI Number
1457744724
Enumeration Date

(more than 11 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
MAGIC CITY ENTERPRISES
Primary location
1780 WESTLAND RD
CHEYENNE, WY 82001-3322
Phone: (307) 637-8869 Fax: (307) 638-0467
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MANDY LILEY
BUSINESS MANAGER
Phone: (307) 637-8869
Updated
Identifiers

Identifiers for MAGIC CITY ENTERPRISES

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERMEDICARE PTANWYW21288
MEDICAIDWY1194895359
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.

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.