MEDICARE: PEACEFUL CREATIONS 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	171W00000X	Contractor

General Provider Information

NPI Number	:	1528990363
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEACEFUL CREATIONS LLC

Provider Business Mailing Address
First Line	:	382 BOSTON TPKE STE 102
Second Line	:
City	:	SHREWSBURY
State	:	MA
Zip	:	01545-3466
Country	:	US
Telephone Number	:	617-208-3333
Fax Number	:

Provider Business Practice Location Address
First Line	:	382 BOSTON TPKE STE 102
Second Line	:
City	:	SHREWSBURY
State	:	MA
Zip	:	01545-3466
Country	:	US
Telephone Number	:	617-208-3333
Fax Number	:

Authorized Official
Title or Position	:	CO-OWNER
Name	:	MS. VIRGINIA BONNICI
Credential	:
Telephone Number	:	502-400-5982

Provider Enumeration Date	:	06/03/2026
Last Update Date	:	06/03/2026

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