Organization Active NPI

Mercy Hospice, LLC

Doing business as Legacy Hospice of the South

  • Community Based Hospice Care Agency
  • Batesville, MS
National Provider Identifier
1306141387
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
143 Issued in MS
Legal business name
MERCY HOSPICE, LLC
Doing business as
Legacy Hospice of the South
Practice address
183 Highway 51 S
Batesville, MS 38606-2542
Phone
(662) 578-8177
Fax
(662) 578-8175
NPI assigned
Jan 21, 2011
Last updated
Mar 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 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 143 MS Primary

Addresses

Primary practice location

183 Highway 51 S
Batesville, MS 38606-2542

Mailing address

PO Box 2130
Daphne, AL 36526-2130
Phone (205) 615-6167

Other identifiers 3

IdentifierTypeStateIssuer
25D2090544OtherMSCLIA
143OtherMSSTATE LICENSE
07388009MedicaidMS

Other names 1

  • Legacy Hospice of the South Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110615000026 MS Part A Provider - Hospice 2466495841 Practice locations: Batesville, MS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306141387. Details of each certification follow.

Hospice certification: CCN 251628

Legal name
MERCY HOSPICE LLC
Doing business as
LEGACY HOSPICE OF THE SOUTH
Certification status
Active
Provider type (POS)
Hospice
Participating since
Aug 17, 2006
Last certification
Nov 18, 2021
Ownership / control type
Proprietary - Other
Organization structure
LLCProprietary
Incorporated
Sep 21, 1998 in MS
Enrollment address
183 Highway 51 S
Batesville, MS 38606-2542

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Legacy Hospice of the South - BatesvilleCCN 251628 · All quality measures
Ownership
For-Profit
Certified
Aug 17, 2006
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Legacy Hospice of the South5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

103 Woodland Rd
Ste 7D
Batesville, MS 38606

183 Highway 51 S
Batesville, MS 38606
Phone (662) 578-8177

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 Jun 28, 2023
Operational/Managerial ControlChief People Officer Jun 28, 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%
Sydney Dees Individual W-2 Managing EmployeeHospice Administrator Oct 20, 2024
LH Holding Company LLC Organization, Daphne, AL LLC, Holding company 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 W-2 Managing EmployeeCfo Dec 1, 2022
Operational/Managerial ControlCfo Dec 1, 2022
Lewis Clark Blair Individual Operational/Managerial ControlCeo Dec 3, 2020
Jessie M Cockrell Individual Contracted Managing EmployeeMD; Jun 21, 2020
Katie N Sanders Individual W-2 Managing EmployeeDirector of Systems and Control 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%
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%
Legacy Operating Company LLC Organization, Daphne, AL Created for acquisition, 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": "1295568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742515200000",
    "number": "1306141387",
    "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": "205-615-6167",
            "fax_number": "205-742-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 HIGHWAY 51 S",
            "city": "BATESVILLE",
            "state": "MS",
            "postal_code": "386062542",
            "telephone_number": "662-578-8177",
            "fax_number": "662-578-8175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-21",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "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": "MS",
            "license": "143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "25D2090544",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "143",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07388009",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Hospice of the South",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Batesville, MS

Sources for this page

Verify at the official NPI Registry.