Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pavilion Legacy Hospice & Palliative Care, LLC

Organization Community Based Hospice Care Agency · NPI 1124901905

Pavilion Legacy Hospice & Palliative Care, LLC is a Community Based Hospice Care Agency in Annandale, Virginia. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4115 Annandale Rd Ste 200
Annandale, VA 22003-2500
Phone: (240) 346-7488
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Based Hospice Care Agency (primary) Taxonomy 251G00000X

Record details

NPI number1124901905
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gibson Erhunmwunse — Chief Executive Officer · (240) 346-7488
NPI enumeratedJuly 29, 2025
Last updated in NPPESJuly 29, 2025
Certification dateJuly 29, 2025
Mailing address4115 Annandale Rd Ste 200, Annandale, VA 22003-2500

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