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MAGIC HOUSE RECOVERY INC
NPI 1376140384
Substance Abuse Rehabilitation Facility in Anaheim, CA

Active since October 02, 2020CLIA 05D2309593 · Waiver
2220 W JUDITH LN, ANAHEIM, CA 92804(949) 899-7750 Get Directions Write a Review

NPPES record last updated: May 3, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 3, 2021, Jan 21, 2021, Oct 2, 2020 (3 updates tracked since 2020).

About Magic House Recovery Inc NPPES

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

MAGIC HOUSE RECOVERY INC (NPI 1376140384) is a healthcare organization registered as a substance abuse rehabilitation facility in Anaheim, California and active in the NPI registry since October 2020. The organization holds a CLIA Waiver certificate valid through August 18, 2026 and lists Jackie Bahu, Ceo, as its authorized official.

NPPES Registry Identity

NPI1376140384
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameMAGIC HOUSE RECOVERY INC
Location Address2220 W JUDITH LNAnaheim, CA 92804-6458
Mailing Address1001 Avenida Pico Ste 268San Clemente, CA 92673-6957
Phone(949) 899-7750
Organization SubpartNo
Authorized OfficialJackie BahuCeo · (888) 992-3297
Enumeration DateOctober 2, 2020
Last NPPES UpdateMay 3, 20213 updates tracked since enumeration
NPPES CertifiedMay 3, 2021
✔ NPI 1376140384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
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.
2220 W JUDITH LN, Anaheim, CA 92804
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2309593

Magic House Recovery · Anaheim, CA
Active · expires Aug 18, 2026
CLIA Number05D2309593
Laboratory TypeDrug & Alcohol Treatment
Certificate Effective DateAugust 19, 2024
Certificate Expiration DateAugust 18, 2026
Laboratory DirectorK Mitchell Naficy
Laboratory Phone(949) 992-0588
Laboratory LocationMagic House Recovery2220 W Judith Lane, Anaheim, CA 92804
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Magic House Recovery Inc's NPI number?

The NPI number for Magic House Recovery Inc is 1376140384. It was assigned to this organization in the NPPES registry on October 2, 2020.

Where is Magic House Recovery Inc located?

Magic House Recovery Inc is located at 2220 W Judith Ln, Anaheim, CA 92804. The listed phone number is (949) 899-7750.

What is Magic House Recovery Inc's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Magic House Recovery Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2309593) is associated with this NPI, valid through August 18, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Magic House Recovery Inc was last updated on May 3, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.