Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Pavilion Legacy Hospice & Palliative Care, LLC

Community Based Hospice Care Agency in Annandale, VA · enumerated 2025 · authorized official Gibson Erhunmwunse, Chief Executive Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124901905

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Pavilion Legacy Hospice & Palliative Care, LLC

Practice address 4115 Annandale Rd Ste 200, Annandale, VA, 22003

Phone (240) 346-7488

Enumeration date Jul 29, 2025

Last updated in NPPES Jul 29, 2025

Taxonomy & classification

251G00000X Community Based Hospice Care Agency Agencies Primary

Authorized official

Name Gibson Erhunmwunse

Title Chief Executive Officer

Phone (240) 346-7488

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-07-29. Verify at npiregistry.cms.hhs.gov.

Where is Pavilion Legacy Hospice & Palliative Care, LLC located?

The practice location on file with NPPES is in Annandale, VA.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-07-29.