Organization Active NPI

Divine Recovery Home Inc

  • Supports Brokerage Agency
  • Antioch, CA
National Provider Identifier
1679478663
Registry record updated Oct 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Supports Brokerage AgencyTaxonomy code 251X00000X
Legal business name
DIVINE RECOVERY HOME INC
Practice address
801 E 18TH St
Antioch, CA 94509-2835
Phone
(925) 291-7494
Fax
(925) 226-2424
NPI assigned
Oct 10, 2026
Last updated
Oct 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2026

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

Authorized official

Name
Mr. Dorce VenordNPI 1205467966
Title
President/Ceo
Phone
(407) 286-8465

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Supports Brokerage Agency 251X00000X Primary
Respite Care 385H00000X

Addresses

Primary practice location

801 E 18TH St
Antioch, CA 94509-2835

Mailing address

801 E 18TH St
Antioch, CA 94509-2835
Phone (925) 291-7494

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1791590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791590400000",
    "number": "1679478663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E 18TH ST",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945092835",
            "telephone_number": "925-291-7494",
            "fax_number": "925-226-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E 18TH ST",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945092835",
            "telephone_number": "925-291-7494",
            "fax_number": "925-226-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE RECOVERY HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-10",
        "last_updated": "2026-10-10",
        "certification_date": "2026-10-10",
        "status": "A",
        "authorized_official_last_name": "VENORD",
        "authorized_official_first_name": "DORCE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "407-286-8465",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Antioch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.