Pavilion Home LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

PAVILION HOME LLC

Practice address

2804 Rose Ave
Fredericksburg, VA 22408-3936

Phone

(571) 276-0289

NPI assigned

Aug 25, 2026

Organization subpart

No

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

Authorized official

Name

Ms. Veronica Samba

Title

Owner

Phone

(571) 276-0289

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1787616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787616000000",
    "number": "1932016128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 ROSE AVE",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224083936",
            "telephone_number": "571-276-0289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2804 ROSE AVE",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224083936",
            "telephone_number": "571-276-0289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAVILION HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-25",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A",
        "authorized_official_last_name": "SAMBA",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-276-0289",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Jiral DDS & Associates PC
• Paul Lysher Physical Therapy
• Paul M Jiral DDS and Associates, PC
• Gwendolyn E Paulson, LCSW
• Joseph Carmine Paviglianiti, M.D.
• Kristen Gautier-Downes Pavlich, LCSW
• Crystal C Pavlick, MSP
• Kara Paxton, NP
• Nicole Payette, PA-C
• Payne Family Medicine Inc

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.