Project Renew

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

PROJECT RENEW

Practice address

315 Avenida Santa Barbara
Unit D
San Clemente, CA 92672-5357

Phone

(562) 631-5881

NPI assigned

Sep 23, 2010

Organization subpart

Yes

Parent organization

PROVIDENCE SERVICE CORPORATIONAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Melissa Faith White

Title

Intern

Phone

(562) 631-5881

Specialties & licenses 1

Addresses

Part of

Project Renew

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Providence Service Corporation

  • Community/Behavioral Health Agency
  • Santa Ana, CA
  • NPI 1851728042
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1124336193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 AVENIDA SANTA BARBARA",
            "address_2": "UNIT D",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926725357",
            "telephone_number": "562-631-5881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 AVENIDA SANTA BARBARA",
            "address_2": "UNIT D",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926725357",
            "telephone_number": "562-631-5881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROJECT RENEW",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROVIDENCE SERVICE CORPORATION",
        "enumeration_date": "2010-09-23",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "FAITH",
        "authorized_official_title_or_position": "INTERN",
        "authorized_official_telephone_number": "562-631-5881"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Precision Metabolix a Medical Corporation
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• Sofia Abril Prentiss
• Prime Mading Anesthesia, Inc.
• Anna Prochowska-Shkarovetskyy, RDN
• Theresa Korbonski Pruitt, RPH
• Psychheurology Associates
• Ptogethership Physical Therapy P.C.
• Marisa Puente, DACM, L.AC.
• Carrie Pulone, SLPA

• Case Management Agency in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Case Management Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.