Active NPI
Dive Opportunity Homes Inc
- Mental Health Counselor
- Rancho Cucamonga, CA
National Provider Identifier
1134063266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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
National Provider Directory
National Provider DirectoryLocations
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.