Magic City Enterprises

LBN: Magic City Enterprises
Magic City Enterprises is an health care organization with primary practice located at 1780 Westland Rd , Cheyenne WY 82001-3322. The organization recently has 3 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities. Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty. Magic City Enterprises can be contacted via phone (307) 637-8869, or through Liley, Mandy via phone (307) 637-8869.

Contact Information

Primary practice address
1780 Westland Rd Cheyenne WY 82001-3322
Phone: (307) 637-8869
Fax: (307) 638-0467
Website:
Map and Directions
Authorized official contact:
Name: Liley, Mandy
Phone: (307) 637-8869

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 1194895359 Wyoming
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X 1194895359 Wyoming
Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities 320700000X 1194895359 Wyoming

Profile Details

NPI number 1457744724
LBN Legal business name Magic City Enterprises
DBA Doing business as
Authorized official Liley, Mandy
Entity Organization
Organization subpart 1 No
Enumeration date Mar 11th, 2015
Last updated Mar 11th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457744724 NPPES
Wyoming MEDICAID 1194895359
Wyoming Other W21288

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