PAVILION LEGACY HOSPICE & PALLIATIVE CARE, LLC
NPI 1124901905
Hospice Care, Community Based in Annandale, VA
About Pavilion Legacy Hospice & Palliative Care, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PAVILION LEGACY HOSPICE & PALLIATIVE CARE, LLC (NPI 1124901905) is a healthcare organization registered as a hospice care, community based in Annandale, Virginia and active in the NPI registry since July 2025. The organization lists Gibson Erhunmwunse, Chief Executive Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 Legacy Hospice & Palliative Care, LLC's NPI number?
The NPI number for Pavilion Legacy Hospice & Palliative Care, LLC is 1124901905. It was assigned to this organization in the NPPES registry on July 29, 2025.
Where is Pavilion Legacy Hospice & Palliative Care, LLC located?
Pavilion Legacy Hospice & Palliative Care, LLC is located at 4115 Annandale Rd Ste 200, Annandale, VA 22003. The listed phone number is (240) 346-7488.
What is Pavilion Legacy Hospice & Palliative Care, LLC's specialty?
The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.
When was this NPI record last updated?
The NPPES record for Pavilion Legacy Hospice & Palliative Care, LLC was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.
# Pavilion Legacy Hospice & Palliative Care, Llc · NPI 1124901905
Hospice Care, Community Based organization in Annandale, Virginia. Organization record, active in the CMS NPPES registry since July 29, 2025.
## Identity
- **NPI:** 1124901905 (Entity type: Organization)
- **Enumerated:** July 29, 2025
- **Primary specialty:** Hospice Care, Community Based · taxonomy 251G00000X
- **Organization subpart:** No
- **Authorized official:** Gibson Erhunmwunse, CHIEF EXECUTIVE OFFICER
## Practice location
- **Address:** 4115 ANNANDALE RD STE 200, Annandale, VA 22003-2500
- **Phone:** (240) 346-7488
## Record status
- **NPPES last updated:** July 29, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1124901905) · Data from the CMS NPPES public registry.