Mercy Hospice, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

MERCY HOSPICE, LLC

Doing business as

Legacy Hospice of the South

Practice address

124 W Court Ave
Selmer, TN 38375-2102

Phone

(731) 468-9701

Fax

(731) 646-1598

NPI assigned

Jul 21, 2022

Last updated

Mar 21, 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

Lewis C. Blair

Title

Ceo

Phone

(205) 652-6167

Specialties & licenses 1

Addresses

Other names 1

• Legacy Hospice of the South Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1346975471. Details of each certification follow.

• CCN 441607 Hospice · Active · Details

Hospice certification: CCN 441607

Legal name

MERCY HOSPICE LLC

Doing business as

LEGACY HOSPICE OF THE SOUTH

Certification status

Active

Provider type (POS)

Hospice

Participating since

Dec 6, 2022

Last certification

Dec 6, 2022

Ownership / control type

Proprietary - Other

Organization structure

LLCProprietary

Incorporated

Nov 20, 2000 in MS

Enrollment address

124 W Court Ave
Selmer, TN 38375-2102

Other NPIs with the same Medicare PAC ID 4

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

• Mercy Hospice LLC

  dba Legacy Hospice of the South

  • Community Based Hospice Care Agency
  • Ripley, MS
  • NPI 1386689016

  2466495841

  Same PAC ID
• Mercy Hospice LLC

  dba Legacy Hospice of the South

  • Community Based Hospice Care Agency
  • Grenada, MS
  • NPI 1518256460

  2466495841

  Same PAC ID
• Mercy Hospice LLC

  dba Legacy Hospice of the South

  • Community Based Hospice Care Agency
  • Starkville, MS
  • NPI 1902105976

  2466495841

  Same PAC ID
• Mercy Hospice, LLC

  dba Legacy Hospice of the South

  • Community Based Hospice Care Agency
  • Batesville, MS
  • NPI 1306141387

  2466495841

  Same PAC ID

Listed as

Legacy Hospice of the SouthCCN 441607 · All quality measures

Certified

Dec 6, 2022

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

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.

• Mercy Hospice LLC

  dba Legacy Hospice of the South

  • Community Based Hospice Care Agency
  • Ripley, MS
  • NPI 1386689016
  NPD tax ID
• Mercy Hospice LLC

  dba Legacy Hospice of the South

  • Community Based Hospice Care Agency
  • Grenada, MS
  • NPI 1518256460
  NPD tax ID
• Mercy Hospice LLC

  dba Legacy Hospice of the South

  • Community Based Hospice Care Agency
  • Starkville, MS
  • NPI 1902105976
  NPD tax ID
• Mercy Hospice, LLC

  dba Legacy Hospice of the South

  • Community Based Hospice Care Agency
  • Batesville, MS
  • NPI 1306141387
  NPD tax ID

Locations

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.

Owners & managing parties with NPI records 1

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

• Timothy R Klein, MD

  • Hospitalist Physician
  • Savannah, TN
  • NPI 1164520771

  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.

• 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 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
• 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
• Safe Harbor Hospice, 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

  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.

• Leslie Ann Deberry, NP-C

  • Nurse Practitioner
  • Savannah, TN
  • NPI 1497389027
  NPD (past)
• Timothy R Klein, MD

  • Hospitalist Physician
  • Savannah, TN
  • NPI 1164520771
  NPD (past)

Affiliated clinicians 2

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

• Timothy R Klein, MD

  • Hospitalist Physician
  • Savannah, TN
  • NPI 1164520771

  Hospice

  Care Compare affiliation
• Nicholas Treece, D.O.

  • Family Medicine Physician
  • Adamsville, TN
  • NPI 1679923759

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1658361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742515200000",
    "number": "1346975471",
    "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": "124 W COURT AVE",
            "city": "SELMER",
            "state": "TN",
            "postal_code": "383752102",
            "telephone_number": "731-468-9701",
            "fax_number": "731-646-1598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-21",
        "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": "C.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "205-652-6167"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Hospice of the South",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• McNairy Hospital Corporation (Tennova Healthcare-McNairy Regional)
• Kristin McNatt, RN
• Mellissa McTizic, MSW
• Golden Meek, SLP-CCC
• Memphis Hand Centers (Southern Hand Centers)
• Mid-Town Pharmacy LLC (Mid-Town Pharmacy)
• Mitchell Eye Center, PLLC
• Andrea Jo Mitchell, O.D.
• Charlotte Mitchell
• Julie Ann Mitchell, PHARMD

• Community Based Hospice Care Agency in Selmer, TN
• Providers in Selmer, TN by specialty
• Community Based Hospice Care Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.