Healthcare Provider Details

I. General information

NPI: 1396658761
Provider Name (Legal Business Name): CALIFORNIA RENEWAL LIVING FOUDNATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 COCHRAN PLAZA #232
MORGAN HILL CA
95037
US

IV. Provider business mailing address

222 COCHRAN PLAZA #232
MORGAN HILL CA
95037
US

V. Phone/Fax

Practice location:
  • Phone: 408-413-9614
  • Fax:
Mailing address:
  • Phone: 408-413-9614
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: NADIA MICHELLE GARCIA
Title or Position: FOUNDER/CEO
Credential:
Phone: 408-413-9614