Organization Active NPI

Legacy Hospice of the East, LLC

  • Community Based Hospice Care Agency
  • Demopolis, AL
National Provider Identifier
1104860428
Registry record updated Oct 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
LEGACY HOSPICE OF THE EAST, LLC
Practice address
951 US Highway 80 West
Suite D
Demopolis, AL 36732
Phone
(334) 218-1826
Fax
(334) 218-1852
NPI assigned
Jun 16, 2006
Last updated
Oct 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lewis Clark Blair
Title
Ceo
Phone
(205) 652-6167

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

951 US Highway 80 West
Suite D
Demopolis, AL 36732

Mailing address

PO Box 2130
Daphne, AL 36526-2130
Phone (205) 652-6167

Other practice location 1

4115 N College Ave
Jackson, AL 36545-2022
Phone (205) 652-6167

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120405000534 AL Part A Provider - Hospice 7315108057 Practice locations: Demopolis, AL; Jackson, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1104860428. Details of each certification follow.

Hospice certification: CCN 011604

Legal name
LEGACY HOSPICE OF THE EAST, LLC
Doing business as
LEGACY OPERATING COMPANY, LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Aug 28, 2003
Last certification
May 4, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Jun 16, 2011 in DE
Enrollment address
951 US Highway 80 W
Ste D
Demopolis, AL 36732-4156

Care Compare: Hospice

Medicare Care Compare
Listed as
Legacy Hospice of the East, LLCCCN 011604 · All quality measures
Ownership
For-Profit
Certified
Aug 28, 2003
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D1031602Legacy Hospice of the East, LLC951 US Highway 80W Ste D, Demopolis, AL 36732Certificate of waiverOct 4, 2026

National Provider Directory

National Provider Directory

Locations

204 N Walnut Ave
Demopolis, AL 36732
Phone (334) 287-0799

951 US Highway 80 W
Ste 8
Demopolis, AL 36732

951 US Highway 80 W
Ste D
Demopolis, AL 36732
Phone (334) 218-1826

5628 Barrytown Rd
Ste 1
Gilbertown, AL 36908
Phone (251) 843-5355

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
James G Corbin Individual Operational/Managerial ControlChief Operating Officer Apr 6, 2020
Clay Jones Individual W-2 Managing EmployeeChief People Officer May 30, 2023
Operational/Managerial ControlChief People Officer May 30, 2023
Bain Capital Double Impact Fund III, L.P. Organization, Boston, MA Private equity company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 10, 2025 76.82%
Bcdi Legacy Holdings, LP Organization, Boston, MA Created for acquisition, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 10, 2025 100%
LH Holding Company LLC Organization, Daphne, AL Created for acquisition, LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Nov 1, 2019 100%
Bcip Double Impact II, LP Organization, Boston, MA Private equity company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 10, 2025 6.27%
Andrew P Lofaso Individual Operational/Managerial ControlVP of Finance, Controller Jan 1, 2023
Lewis Clark Blair Individual Corporate OfficerCeo Dec 3, 2019
W-2 Managing Employee Jul 20, 2011
Katie N Sanders Individual W-2 Managing EmployeeDirector of Systems and Controls Dec 18, 2017
Bcdi Legacy Midco, LLC Organization, Boston, MA Created for acquisition, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 10, 2025 100%
Bcdi Legacy Investor, LP Organization, Boston, MA Created for acquisition, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 10, 2025 96.71%
Jessica M. Allen Individual W-2 Managing EmployeeAd; Sep 4, 2024
Bcdi Legacy Topco, LLC Organization, Boston, MA Created for acquisition, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 10, 2025 100%
James S Donald Individual Contracted Managing EmployeeMD; Aug 26, 2024
Legacy Operating Company LLC Organization, Daphne, AL LLC, For-profit 5% Or Greater Direct Ownership Interest Nov 1, 2019 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 12

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760227200000",
    "number": "1104860428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2130",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365262130",
            "telephone_number": "205-652-6167",
            "fax_number": "205-742-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 US HIGHWAY 80 WEST",
            "address_2": "SUITE D",
            "city": "DEMOPOLIS",
            "state": "AL",
            "postal_code": "36732",
            "telephone_number": "334-218-1826",
            "fax_number": "334-218-1852"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4115 N College Ave",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "AL",
            "postal_code": "365452022",
            "country_code": "US",
            "telephone_number": "205-652-6167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LEGACY HOSPICE OF THE EAST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2025-10-12",
        "certification_date": "2025-10-12",
        "status": "A",
        "authorized_official_last_name": "BLAIR",
        "authorized_official_first_name": "LEWIS",
        "authorized_official_middle_name": "CLARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "205-652-6167"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Demopolis, AL

Sources for this page

Verify at the official NPI Registry.