Safe Harbor Hospice, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

1076HO Issued in MO

Legal business name

SAFE HARBOR HOSPICE, LLC

Doing business as

Legacy Hospice

Practice address

733 W Main St Ste C
Fredericktown, MO 63645-1143

Phone

(573) 783-7625

Fax

(573) 783-2126

NPI assigned

Jan 5, 2007

Last updated

Oct 12, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Lewis C. Blair

Title

Ceo

Phone

(052) 742-0028

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Legacy Hospice Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1215084876. Details of each certification follow.

• CCN 261586 Hospice · Active · Details

Hospice certification: CCN 261586

Legal name

SAFE HARBOR HOSPICE LLC

Doing business as

LEGACY OPERATING COMPANY, LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

May 31, 2000

Last certification

Jul 7, 2022

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Incorporated

Jan 7, 2000 in MO

Enrollment address

733 W Main St
Ste C
Fredericktown, MO 63645-1143

Listed as

Legacy HospiceCCN 261586 · All quality measures

Ownership

For-Profit

Certified

May 31, 2000

Medicare certification status

ActiveFrom the Provider of Services file

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Tradewinds Palliative Care LLC.

  dba dba TradeWinds Palliative Care

  • Family Medicine Physician
  • Fredericktown, MO
  • NPI 1396175188

  Member Of

  NPD member

Locations

All disclosed owners & managing parties 14

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

Owners & managing parties with NPI records 1

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

• Edward Burke, M.D.

  • Internal Medicine Physician
  • Fredericktown, MO
  • NPI 1306885157

  Contracted Managing Employee

  CMS ownership

Facilities with the same owner 12

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

• Legacy Hospice 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

  CMS ownership
• Homecare Hospice North, LLC

  dba Legacy Hospice of the South

  • Community Based Hospice Care Agency
  • New Albany, MS
  • NPI 1164893343

  Legacy Operating Company LLC, LH Holding Company LLC

  CMS ownership
• Homecare Hospice South, LLC

  dba Legacy Hospice of the South

  • Community Based Hospice Care Agency
  • Hattiesburg, MS
  • NPI 1518219773

  Legacy Operating Company LLC, LH Holding Company LLC

  CMS ownership
• Homecare Hospice, 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

  CMS ownership
• Legacy Hospice of the East, LLC

  • Community Based Hospice Care Agency
  • Demopolis, AL
  • NPI 1104860428

  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

  CMS ownership
• Legacy Hospice, 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

  CMS ownership
• Mercy Hospice 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

  CMS ownership
• Mercy Hospice 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

  CMS ownership
• Mercy Hospice 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

  CMS ownership
• Mercy Hospice, 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

  CMS ownership
• Mercy Hospice, 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

  CMS ownership
• Watch Care, 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

  CMS ownership

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Phillip Marion Beyer, D.O.

  • Family Medicine Physician
  • Fredericktown, MO
  • NPI 1407805732
  NPD (past)
• Edward Burke, M.D.

  • Internal Medicine Physician
  • Fredericktown, MO
  • NPI 1306885157

  Family Medicine

  NPD (past)

Affiliated clinicians 1

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

• Edward Burke, M.D.

  • Internal Medicine Physician
  • Fredericktown, MO
  • NPI 1306885157

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760227200000",
    "number": "1215084876",
    "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": "733 W MAIN ST STE C",
            "city": "FREDERICKTOWN",
            "state": "MO",
            "postal_code": "636451143",
            "telephone_number": "573-783-7625",
            "fax_number": "573-783-2126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HARBOR HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "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": "C.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "052-742-0028",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MO",
            "license": "1076HO",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "825025000",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robbins Family Healthcare LLC
• Michael D Robbins, M.D.
• Kevin G Roberts, D.C.
• Michele Rubel, M.P.T.
• Christina Mae Russell, PLPC
• Braelynn Michelle Sarakas, PTA
• Rebeccah C Sargent
• Tabitha Louise Scheffler, MPT
• Samantha Elizabeth Schmitt, LPC
• Annette Kay Schwander, PTA

• Community Based Hospice Care Agency in Fredericktown, MO
• Providers in Fredericktown, MO by specialty
• Community Based Hospice Care Agency in Missouri

• 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.

Verify at the official NPI Registry.