OrganizationActive
Project Renew
NPI 1124336193 · Case Management Agency · San Clemente, CA
Provider details
- NPI number
- 1124336193
- Entity type
- Organization
- Primary specialty
- Case Management AgencyAgencies
- Parent organization
- Providence Service Corporation
- Organization subpart
- Yes
- Authorized official
- Melissa White, Intern(562) 631-5881
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
315 Avenida Santa Barbara
Unit D
San Clemente, CA 92672-5357
Phone: (562) 631-5881
Street-level locationGet directions
Mailing address
315 Avenida Santa Barbara
San Clemente, CA 92672-5357
Registry dates
- Enumerated
- 2010-09-23
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.