Healthcare Provider Details

I. General information

NPI: 1851236780
Provider Name (Legal Business Name): PEACEFUL RIDE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 COLUMBUS CTR STE 600
VIRGINIA BEACH VA
23462-6760
US

IV. Provider business mailing address

1 COLUMBUS CTR STE 600
VIRGINIA BEACH VA
23462-6760
US

V. Phone/Fax

Practice location:
  • Phone: 757-798-3600
  • Fax:
Mailing address:
  • Phone: 757-798-3600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: MRS. TIGIST C KENNEY
Title or Position: OWNER/OPERATOR
Credential: RN, BSN
Phone: 757-798-3600