Pebble Creek Homes

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PEBBLE CREEK HOMES

Practice address

19204 Temple Ave
South Chesterfield, VA 23834-5614

Phone

(720) 415-1845

NPI assigned

Apr 6, 2026

Organization subpart

No

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

Authorized official

Name

Mrs. Shannon Brown

Title

Owner

Phone

(720) 415-1845

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1775433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775433600000",
    "number": "1407798952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19204 TEMPLE AVE",
            "city": "SOUTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "238345614",
            "telephone_number": "720-415-1845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19204 TEMPLE AVE",
            "city": "SOUTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "238345614",
            "telephone_number": "720-415-1845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEBBLE CREEK HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-06",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-415-1845",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Opulent Springs Inc
• Opulent Springs Resources
• Gerald Ott
• Peaceful Guidance Youth Services
• Peaceful Wellness PLLC
• Petersburg Family Dental PLLC
• Tamesha Michelle Pettiford, MSW
• Mary Phillips
• Shamonda Phillips
• David Charles Pierce Jr.

• Community/Behavioral Health Agency in South Chesterfield, VA
• Providers in South Chesterfield, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.