Legacy Hospice of the East, LLC
Organization Active NPI Community Based Hospice Care Agency · Demopolis, AL
NPI 1104860428 · NPPES record last updated Oct 12, 2025
Key facts
- NPI
- 1104860428
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 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
- Organization subpart
- No
Authorized official
- Name
- Lewis Clark Blair
- Title
- Ceo
- Phone
- (205) 652-6167
Owners & managing parties with NPI records 1
-
James S Donald, MD
Facilities with the same owner 12
Affiliated clinicians 4
-
Sawyer Donald, DO
-
William B Lee, MD
-
Karen L. Manning, M.D.
-
Hannah Zahedi, MD
Medicare Care Compare: Hospice
- Listed as
- Legacy Hospice of the East, LLC
- Ownership
- For-Profit
- Certified
- Aug 28, 2003
- Medicare certification status
- Active
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D1031602 | Legacy Hospice of the East, LLC | Certificate of waiver | Oct 4, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
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 · Proprietary
- Incorporated
- Jun 16, 2011 in DE
- Enrollment address
- 951 US Highway 80 W
Ste D
Demopolis, AL 36732-4156
All disclosed owners & managing parties 15
| 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% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120405000534 | AL | Part a Provider - Hospice | 7315108057 | Practice locations: Demopolis, AL; Jackson, AL |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Yes |
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
Other providers in Demopolis, AL
- Keen Health & Wellness Inc
- Peter Keen
- Jeremy Anderson Kelley
- Nakieta Lankster
- Cassandra Latham
- Tiffanie Elizabeth Lewis
- Marengo Physical Therapy & Disc Institute, Inc.
- Gabrielle Matthews
- Linda Bodle McAdams
- Brenda Layton McGivern
All providers in Demopolis, AL · Community Based Hospice Care Agency in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.