Active NPI
Legacy Hospice of the East, LLC
- Community Based Hospice Care Agency
- Demopolis, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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, LLC
- Ownership
- For-Profit
- Certified
- Aug 28, 2003
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D1031602 | Legacy Hospice of the East, LLC | Certificate of waiver | Oct 4, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| James G Corbin | Operational/Managerial Control | Apr 6, 2020 | |
| Clay Jones | W-2 Managing Employee | May 30, 2023 | |
| Operational/Managerial Control | May 30, 2023 | ||
| Bain Capital Double Impact Fund III, L.P. | 5% Or Greater Indirect Ownership Interest | Nov 10, 2025 | 76.82% |
| Bcdi Legacy Holdings, LP | 5% Or Greater Indirect Ownership Interest | Nov 10, 2025 | 100% |
| LH Holding Company LLC | 5% Or Greater Indirect Ownership Interest | Nov 1, 2019 | 100% |
| Bcip Double Impact II, LP | 5% Or Greater Indirect Ownership Interest | Nov 10, 2025 | 6.27% |
| Andrew P Lofaso | Operational/Managerial Control | Jan 1, 2023 | |
| Lewis Clark Blair | Corporate Officer | Dec 3, 2019 | |
| W-2 Managing Employee | Jul 20, 2011 | ||
| Katie N Sanders | W-2 Managing Employee | Dec 18, 2017 | |
| Bcdi Legacy Midco, LLC | 5% Or Greater Indirect Ownership Interest | Nov 10, 2025 | 100% |
| Bcdi Legacy Investor, LP | 5% Or Greater Indirect Ownership Interest | Nov 10, 2025 | 96.71% |
| Jessica M. Allen | W-2 Managing Employee | Sep 4, 2024 | |
| Bcdi Legacy Topco, LLC | 5% Or Greater Indirect Ownership Interest | Nov 10, 2025 | 100% |
| James S Donald | Contracted Managing Employee | Aug 26, 2024 | |
| Legacy Operating Company LLC | 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.
-
dba Legacy Hospice of the South
- Community Based Hospice Care Agency
- New Albany, MS
- NPI 1164893343
Legacy Operating Company LLC, LH Holding Company LLC
-
dba Legacy Hospice of the South
- Community Based Hospice Care Agency
- Hattiesburg, MS
- NPI 1518219773
Legacy Operating Company LLC, LH Holding Company LLC
-
- Community Based Hospice Care Agency
- Jackson, MS
- NPI 1326118522
Bain Capital Double Impact Fund III, L.P., Bcdi Legacy Holdings, LP, Bcdi Legacy Investor, LP, Bcdi Legacy Midco, LLC, Bcdi Legacy Topco, LLC, Bcip Double Impact II, LP, Legacy Operating Company LLC, LH Holding Company LLC
-
dba Legacy Hospice
- Community Based Hospice Care Agency
- Kennett, MO
- NPI 1033238233
Bain Capital Double Impact Fund III, L.P., Bcdi Legacy Holdings, LP, Bcdi Legacy Investor, LP, Bcdi Legacy Midco, LLC, Bcdi Legacy Topco, LLC, Bcip Double Impact II, LP, Legacy Operating Company LLC, LH Holding Company LLC
-
dba Legacy Hospice
- Community Based Hospice Care Agency
- Osceola, AR
- NPI 1033238241
Bain Capital Double Impact Fund III, L.P., Bcdi Legacy Holdings, LP, Bcdi Legacy Investor, LP, Bcdi Legacy Midco, LLC, Bcdi Legacy Topco, LLC, Bcip Double Impact II, LP, Legacy Operating Company LLC, LH Holding Company LLC
-
dba Legacy Hospice of the South
- Community Based Hospice Care Agency
- Ripley, MS
- NPI 1386689016
Bain Capital Double Impact Fund III, L.P., Bcdi Legacy Holdings, LP, Bcdi Legacy Investor, LP, Bcdi Legacy Midco, LLC, Bcdi Legacy Topco, LLC, Bcip Double Impact II, LP, Legacy Operating Company LLC, LH Holding Company LLC
-
dba Legacy Hospice of the South
- Community Based Hospice Care Agency
- Grenada, MS
- NPI 1518256460
Bain Capital Double Impact Fund III, L.P., Bcdi Legacy Holdings, LP, Bcdi Legacy Investor, LP, Bcdi Legacy Midco, LLC, Bcdi Legacy Topco, LLC, Bcip Double Impact II, LP, Legacy Operating Company LLC, LH Holding Company LLC
-
dba Legacy Hospice of the South
- Community Based Hospice Care Agency
- Starkville, MS
- NPI 1902105976
Bain Capital Double Impact Fund III, L.P., Bcdi Legacy Holdings, LP, Bcdi Legacy Investor, LP, Bcdi Legacy Midco, LLC, Bcdi Legacy Topco, LLC, Bcip Double Impact II, LP, Legacy Operating Company LLC, LH Holding Company LLC
-
dba Legacy Hospice of the South
- Community Based Hospice Care Agency
- Batesville, MS
- NPI 1306141387
Bain Capital Double Impact Fund III, L.P., Bcdi Legacy Holdings, LP, Bcdi Legacy Investor, LP, Bcdi Legacy Midco, LLC, Bcdi Legacy Topco, LLC, Bcip Double Impact II, LP, Legacy Operating Company LLC, LH Holding Company LLC
-
dba Legacy Hospice of the South
- Community Based Hospice Care Agency
- Selmer, TN
- NPI 1346975471
Bain Capital Double Impact Fund III, L.P., Bcdi Legacy Holdings, LP, Bcdi Legacy Investor, LP, Bcdi Legacy Midco, LLC, Bcdi Legacy Topco, LLC, Bcip Double Impact II, LP, Legacy Operating Company LLC, LH Holding Company LLC
-
dba Legacy Hospice
- Community Based Hospice Care Agency
- Fredericktown, MO
- NPI 1215084876
Bain Capital Double Impact Fund III, L.P., Bcdi Legacy Holdings, LP, Bcdi Legacy Investor, LP, Bcdi Legacy Midco, LLC, Bcdi Legacy Topco, LLC, Bcip Double Impact II, LP, Legacy Operating Company LLC, LH Holding Company LLC
-
dba Legacy Hospice of North Arkansas
- Community Based Hospice Care Agency
- Salem, AR
- NPI 1609995653
Bain Capital Double Impact Fund III, L.P., Bcdi Legacy Holdings, LP, Bcdi Legacy Investor, LP, Bcdi Legacy Midco, LLC, Bcdi Legacy Topco, LLC, Bcip Double Impact II, LP, Legacy Operating Company LLC, LH Holding Company LLC
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.