Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

PAVILION HOME LLC
NPI 1932016128
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Fredericksburg, VA

Q: What is Pavilion Home LLC's NPI number?

The NPI number for Pavilion Home LLC is 1932016128. It was assigned to this organization in the NPPES registry on August 25, 2026.

Q: What is Pavilion Home LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Q: When was this NPI record last updated?

The NPPES record for Pavilion Home LLC was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 25, 2026

2804 ROSE AVE, FREDERICKSBURG, VA 22408(571) 276-0289 Get Directions Write a Review

NPPES record added: August 25, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Pavilion Home Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAVILION HOME LLC (NPI 1932016128) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Fredericksburg, Virginia and active in the NPI registry since August 2026. The organization lists Veronica Samba, Owner, as its authorized official.

NPPES Registry Identity

NPI1932016128

Entity TypeOrganization

Primary Taxonomy320900000X

Legal Business NamePAVILION HOME LLC

Location Address2804 ROSE AVEFredericksburg, VA 22408-3936

Mailing Address2804 Rose AveFredericksburg, VA 22408-3936 · (571) 276-0289

Phone(571) 276-0289

Organization SubpartNo

Authorized OfficialVeronica SambaOwner · (571) 276-0289

Enumeration DateAugust 25, 2026

NPPES CertifiedAugust 25, 2026

✔ NPI 1932016128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320900000X

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

2804 ROSE AVE, Fredericksburg, VA 22408

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pavilion Home LLC's NPI number?

The NPI number for Pavilion Home LLC is 1932016128. It was assigned to this organization in the NPPES registry on August 25, 2026.

Where is Pavilion Home LLC located?

Pavilion Home LLC is located at 2804 Rose Ave, Fredericksburg, VA 22408. The listed phone number is (571) 276-0289.

What is Pavilion Home LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Pavilion Home LLC was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.