Pavilion Legacy Hospice & Palliative Care, LLC
NPI 1124901905 · Community Based Hospice Care Agency · Annandale, VA
Pavilion Legacy Hospice & Palliative Care, LLC is a Community Based Hospice Care Agency organization in Annandale, VA (NPI 1124901905).
Provider details
- NPI number
- 1124901905
- Entity type
- Organization
- Primary specialty
- Community Based Hospice Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Gibson Erhunmwunse, Chief Executive Officer(240) 346-7488
Specialties & taxonomies
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-07-29
- Last updated
- 2025-07-29
- Certified
- 2025-07-29
Frequently asked questions
- What is Pavilion Legacy Hospice & Palliative Care, LLC's NPI number?
- Pavilion Legacy Hospice & Palliative Care, LLC's National Provider Identifier (NPI) is 1124901905, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pavilion Legacy Hospice & Palliative Care, LLC?
- Pavilion Legacy Hospice & Palliative Care, LLC is classified in the NPPES registry as Community Based Hospice Care Agency (Agencies).
- Where is Pavilion Legacy Hospice & Palliative Care, LLC located?
- Pavilion Legacy Hospice & Palliative Care, LLC's practice location on file with NPPES is 4115 Annandale Rd Ste 200, Annandale, VA 22003-2500.
- What is Pavilion Legacy Hospice & Palliative Care, LLC's phone number?
- The practice phone number listed in the NPPES registry for Pavilion Legacy Hospice & Palliative Care, LLC is (240) 346-7488.
- Who is the authorized official for Pavilion Legacy Hospice & Palliative Care, LLC?
- The authorized official listed on Pavilion Legacy Hospice & Palliative Care, LLC's NPPES record is Gibson Erhunmwunse, Chief Executive Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pavilion Legacy Hospice & Palliative Care, LLC's NPI active?
- Yes — Pavilion Legacy Hospice & Palliative Care, LLC's NPI (1124901905) is active in the NPPES registry as of the last update on 2025-07-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.