MAGIC CITY ENTERPRISES (NPI# 1902235054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902235054 |
| Entity Type | Organization |
| Organization Name | MAGIC CITY ENTERPRISES |
| Practice Address |
1780 Westland Rd Cheyenne WY 82001-3322 |
| Mailing Address |
540 Melton St Apt 4 Cheyenne WY 82009-4753 |
| Practice Telephone | 3076378869 |
| Mailing Telephone | 3072202010 |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2013-11-08 |
| Authorized Official Name | ERIN MARIE MCKINNEY (CASE MANAGER) |
| Authorized Official Telephone | 3072202010 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629406269 | Magic City Enterprises | Case Management | 540 Melton St Apt 4, Cheyenne, WY 82009-4753 | 2013-10-16 |
| 1457744724 | Magic City Enterprises | Intermediate Care Facility, Mentally Retarded | 1780 Westland Rd, Cheyenne, WY 82001-3322 | 2015-03-11 |
| Street Address |
1780 WESTLAND RD |
| City | CHEYENNE |
| State | WY |
| Zip Code | 82001-3322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194895359 | Magic City Enterprises, Inc | Psychologist | 1780 Westland Rd, Cheyenne, WY 82001-3322 | 2006-11-08 |
| 1457744724 | Magic City Enterprises | Intermediate Care Facility, Mentally Retarded | 1780 Westland Rd, Cheyenne, WY 82001-3322 | 2015-03-11 |
| 1396184065 | Aubrie Lynn Pickens | Case Manager/Care Coordinator | 1780 Westland Rd, Cheyenne, WY 82001-3322 | 2013-06-17 |
| 1922343169 | Nancy Kay Krois | Case Manager/Care Coordinator | 1780 Westland Rd, Cheyenne, WY 82001-3322 | 2012-11-28 |
| 1427314277 | Allison Drake | Case Manager/Care Coordinator | 1780 Westland Rd, Cheyenne, WY 82001-3322 | 2012-04-05 |
| 1508091026 | Anthony Scoville | Case Manager/Care Coordinator | 1780 Westland Rd, Cheyenne, WY 82001-3322 | 2009-05-28 |
| 1639304728 | Magic City Enterprises, Inc. | Day Training, Developmentally Disabled Services | 1780 Westland Rd, Cheyenne, WY 82001-3322 | 2009-05-19 |
| 1386819308 | Magic City Enterprises, Inc | Day Training, Developmentally Disabled Services | 1780 Westland Rd, Cheyenne, WY 82001-3322 | 2008-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194382150 | Brain Advancement Center, LLC | Counselor | 2005 Warren Ave., Cheyenne, WY 82001 | 2019-05-24 |
| 1255897385 | Humble Horizon Home Health LLC | Case Management | 6066 Wilderness Trl, Cheyenne, WY 82001 | 2019-02-13 |
| 1396214722 | Megan Kraushaar | Behavior Technician | 3120 Old Faithful Rd, Cheyenne, WY 82001 | 2018-11-14 |
| 1255815536 | Michelle Mae Mccoy | Social Worker | 2360 E Perishing Blvd, Cheyenne, WY 82001 | 2018-09-21 |
| 1750869616 | Finding Peace Counseling, LLC | Counselor | 1603 Capitol Ave Ste 510b, Cheyenne, WY 82001 | 2018-08-02 |
| 1457855595 | Better Life Counseling LLC | Counselor | 2909 Bent Ave Ste 5, Cheyenne, WY 82001 | 2018-03-22 |
| 1942729066 | Brittany Heinzman | Community Health Worker | 2000 Westland Road Suite C, Cheyenne, WY 82001 | 2017-09-11 |
| 1144768086 | Cheyenne Regional Home Home Care Services | Case Management | 214 E 23rd Street, Cheyenne, WY 82001 | 2017-02-10 |
| 1104360726 | Jennifer Pannebaker | Behavioral Analyst | 813 Randall Ave, Cheyenne, WY 82001 | 2016-12-16 |
| 1053854703 | Raven Coward Long | Social Worker | 821 East Pershing Blvd, Cheyenne, WY 82001 | 2016-11-29 |
| Find all providers in zip 82001 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790397453 | Nicole R Jelinski | Case Management | 120 Mcfarland Ave, Cheyenne, WY 82007-2317 | 2020-08-23 |
| 1679110738 | Charla Ricciardi | Case Management | 6329 Troyer Dr, Cheyenne, WY 82007-9218 | 2019-12-06 |
| 1992347488 | Amanda Pomeroy | Case Management | 3730 Rawlins St, Cheyenne, WY 82001-1822 | 2019-10-16 |
| 1255897385 | Humble Horizon Home Health LLC | Case Management | 6066 Wilderness Trl, Cheyenne, WY 82001 | 2019-02-13 |
| 1710481999 | Linda M Trujillo | Case Management | 4526 Marble Ave, Cheyenne, WY 82001-1896 | 2018-03-21 |
| 1619487964 | Destiny Cheri Tyler | Case Management | 503 Shoshoni St Apt A, Cheyenne, WY 82009-4251 | 2017-10-01 |
| 1699215871 | All for You, LLC | Case Management | 5333 Jenny Lk, Cheyenne, WY 82009-3719 | 2017-03-07 |
| 1144768086 | Cheyenne Regional Home Home Care Services | Case Management | 214 E 23rd Street, Cheyenne, WY 82001 | 2017-02-10 |
| 1932643467 | Tehla Bates Stayer Dba Treasure Abilities Case Management Services | Case Management | 1111 E Lincolnway, Suite #109, Cheyenne, WY 82001-4848 | 2016-12-19 |
| 1588026751 | Tehla Marie Bates Stayer | Case Management | 1714 Treadway Trl, Cheyenne, WY 82009-9058 | 2016-03-25 |
| Find all providers in CHEYENNE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.