OrganizationActive
Pavilion Legacy Hospice & Palliative Care, LLC
NPI 1124901905 · Community Based Hospice Care Agency · Annandale, VA
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
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
4115 Annandale Rd Ste 200
Annandale, VA 22003-2500
Phone: (240) 346-7488
Street-level locationGet directions
Mailing address
4115 Annandale Rd Ste 200
Annandale, VA 22003-2500
Registry dates
- Enumerated
- 2025-07-29
- Last updated
- 2025-07-29
- Certified
- 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.