MEDICARE: PEACEFUL SURROUNDINGS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	1028	VA

General Provider Information

NPI Number	:	1578796611
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEACEFUL SURROUNDINGS LLC

Provider Business Mailing Address
First Line	:	332 DORSET AVE
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23462-6619
Country	:	US
Telephone Number	:	757-493-9302
Fax Number	:

Provider Business Practice Location Address
First Line	:	332 DORSET AVE
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23462-6619
Country	:	US
Telephone Number	:	757-493-9302
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MS. MARSHA SIMPKINS
Credential	:
Telephone Number	:	757-467-5340

Provider Enumeration Date	:	08/24/2009
Last Update Date	:	08/24/2009

Similar Medicare Providers

1376492850 — JOANNA STORM-LIU R.D.
Practice Location Address:

1531 PIPER DUNES PL
FERNANDINA BEACH, FL
32034-6619

Practice Phone: 610-888-9680
Practice Fax:

1053631143 — MS. JESSIE S ANDERSON
Practice Location Address:

1320 W 10TH ST
RIVIERA BEACH, FL
33404-6619

Practice Phone: 561-633-1986
Practice Fax:

1639570336 — KEVIN JONES DPT
Practice Location Address:

236 PONTE VEDRA PARK DR , SUITE 300
PONTE VEDRA BEACH, FL
32082-6619

Practice Phone: 904-280-3440
Practice Fax: 904-280-3444

1215339064 — FRANKIE SPARACIA DPT
Practice Location Address:

236 PONTE VEDRA PARK DR
PONTE VEDRA BEACH, FL
32082-6619

Practice Phone: 904-280-3440
Practice Fax: 904-280-3444

1871269696 — SOPHIE BARGERON DPT
Practice Location Address:

236 PONTE VEDRA PARK DR STE 300
PONTE VEDRA BEACH, FL
32082-6619

Practice Phone: 904-280-3440
Practice Fax:

1740985373 — MEGAN TAYLOR FORGACS
Practice Location Address:

236 PONTE VEDRA PARK DR STE 300
PONTE VEDRA BEACH, FL
32082-6619

Practice Phone: 904-280-3440
Practice Fax:

Directions to “PEACEFUL SURROUNDINGS LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.