MAGIC HOUSE RECOVERY INC NPI 1376140384

NPI Information

  • NPI: 1376140384
  • Provider Name: MAGIC HOUSE RECOVERY INC
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • CLIA Number: 05D2309593
  • Address: 2220 W JUDITH LN
    ANAHEIM, CA
    ZIP 92804
  • Phone: (949) 899-7750

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NPI Details

MAGIC HOUSE RECOVERY INC is a substance abuse rehabilitation facility in Anaheim, CA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. MAGIC HOUSE RECOVERY INC NPI is 1376140384. The provider is registered as an organization entity type.

The provider's business location address is:

2220 W JUDITH LN
ANAHEIM, CA
ZIP 92804-458
Phone: (949) 899-7750

The provider's authorized official is Jackie Bahu .
The authorized official title is Ceo and has the following contact phone number (888) 992-3297.

The CLIA number assigned to this NPI record is 05D2309593 - other - drug & alcohol treatment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/2/2020 and was last updated on 5/3/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1324500000XSubstance Abuse Rehabilitation FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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