MAGIC CITY ENTERPRISES, INC - NPI 1194895359 - Day Training, Developmentally Disabled Services in Cheyenne, WY

Q: What is Magic City Enterprises, Inc's NPI number?

The NPI number for Magic City Enterprises, Inc is 1194895359. It was assigned to this organization in the NPPES registry on November 8, 2006.

Q: What is Magic City Enterprises, Inc's specialty?

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

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About Magic City Enterprises, Inc NPPES

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

MAGIC CITY ENTERPRISES, INC (NPI 1194895359) is a healthcare organization registered as a day training, developmentally disabled services in Cheyenne, Wyoming and active in the NPI registry since November 2006. The organization lists Mandy Jane Liley, Vice President Of Business Services, as its authorized official.

NPPES Registry Identity

NPI1194895359

Entity TypeOrganization

Primary Taxonomy251C00000X

Legal Business NameMAGIC CITY ENTERPRISES, INC

Location Address1780 WESTLAND RDCheyenne, WY 82001-3322

Mailing Address1780 Westland RdCheyenne, WY 82001-3322 · (307) 637-8869 · Fax (307) 638-0467

Phone(307) 637-8869

Fax(307) 638-0467

Organization SubpartNo

Authorized OfficialMandy Jane LileyVice President Of Business Services · (307) 637-8869

Enumeration DateNovember 8, 2006

Last NPPES UpdateSeptember 17, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 17, 2020

✔ NPI 1194895359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDay Training, Developmentally Disabled ServicesAgencies

Taxonomy Code251C00000X

Definition

These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X

1780 WESTLAND RD, Cheyenne, WY 82001

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Other Identifiers 3

Medicaid100132901WY

Medicaid100132912WY

Medicaid100132911WY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAGIC CITY ENTERPRISES, INC

Psychologist (Clinical)