Organization Active NPI

Dive Opportunity Homes Inc

  • Mental Health Counselor
  • Rancho Cucamonga, CA
National Provider Identifier
1134063266
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
DIVE OPPORTUNITY HOMES INC
Practice address
6216 Mayberry Ave
Rancho Cucamonga, CA 91737-3743
Phone
(310) 386-7919
NPI assigned
Apr 17, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Authorized official

Name
Mrs. Ebony Monique Maxie
Title
Administrator
Phone
(310) 386-7919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

6216 Mayberry Ave
Rancho Cucamonga, CA 91737-3743

Mailing address

7056 Archibald Ave Ste 102-357
Corona, CA 92880-8713
Phone (310) 386-7919

Other names 1

  • DIVE Opportunities STRTP Doing business as

National Provider Directory

National Provider Directory

Locations

7056 Archibald Ave
Ste 102357
Corona, CA 92880

NPI Registry JSON

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

{
    "created_epoch": "1776384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778544000000",
    "number": "1134063266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7056 ARCHIBALD AVE STE 102-357",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928808713",
            "telephone_number": "310-386-7919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6216 MAYBERRY AVE",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917373743",
            "telephone_number": "310-386-7919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVE OPPORTUNITY HOMES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-17",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A",
        "authorized_official_last_name": "MAXIE",
        "authorized_official_first_name": "EBONY",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "310-386-7919",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DIVE Opportunities STRTP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; 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.