NPIMap

Organization Active NPI

Mercy Hospice LLC

Doing business as Legacy Hospice of the South

  • Community Based Hospice Care Agency
  • Ripley, MS
National Provider Identifier
1386689016
Registry record updated Oct 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
053 Issued in MS
Legal business name
MERCY HOSPICE LLC
Doing business as
Legacy Hospice of the South
Practice address
212 East Jefferson Street
Ripley, MS 38663
Phone
(662) 837-9990
Fax
(662) 837-6969
NPI assigned
Jun 17, 2006
Last updated
Oct 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2025

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

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 053 MS Primary

Addresses

Primary practice location

212 East Jefferson Street
Ripley, MS 38663

Mailing address

PO Box 2130
Daphne, AL 36526-2130
Phone (205) 652-6167

Other practice location 1

301 E Waldron St
Corinth, MS 38834-4756
Phone (662) 286-5333

Other practice location 2

201 3rd Ave N
Amory, MS 38821-3413
Phone (662) 257-9811

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
O20050607000300 MS Part A Provider - Hospice 2466495841 Practice locations: Corinth, MS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1386689016. Details of each certification follow.

Hospice certification: CCN 251552

Legal name
MERCY HOSPICE LLC
Doing business as
LEGACY HOSPICE OF THE SOUTH
Certification status
Active
Provider type (POS)
Hospice
Participating since
Feb 15, 1999
Last certification
Jul 20, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Enrollment address
301E Waldron St
Corinth, MS 38834-4756

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 (* Deemed )CCN 251552 · All quality measures
Ownership
For-Profit
Certified
Feb 15, 1999
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D0992347Mercy Hospice LLC Dba Legacy Hospice of the South212 E Jefferson St, Ripley, MS 38663Certificate of waiverOct 14, 2027

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

201 3rd Ave N
Ste 2
Amory, MS 38821

301 E Waldron St
Corinth, MS 38834
Phone (662) 286-5333

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 Corporate DirectorCco/Coo Apr 1, 2020
W-2 Managing EmployeeCco/Coo Apr 1, 2020
Operational/Managerial ControlCco, Coo Apr 1, 2020
Clay Jones Individual W-2 Managing EmployeeCpo Apr 1, 2024
Operational/Managerial ControlCpo Apr 1, 2024
Cameron Huxford Individual Contracted Managing EmployeeMD; Apr 1, 2024
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%
LH Holding Company LLC Organization, Livingston, AL LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Dec 3, 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 Apr 1, 2024
Operational/Managerial ControlCfo Apr 1, 2024
Lewis Clark Blair Individual Corporate OfficerCeo Dec 3, 2019
W-2 Managing EmployeeCeo Dec 3, 2019
Katie N Sanders Individual W-2 Managing EmployeeVP of Compliance Dec 3, 2019
Operational/Managerial ControlVP of Compliance Dec 3, 2019
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%
Kelli Jaco Individual W-2 Managing EmployeeAd; Apr 1, 2024
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 Holding company 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 Dec 3, 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.

  • 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
  • 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
  • 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
    • 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
  • 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 & affiliated clinicians

Affiliated clinicians 5

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": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760227200000",
    "number": "1386689016",
    "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": "212 EAST JEFFERSON STREET",
            "city": "RIPLEY",
            "state": "MS",
            "postal_code": "38663",
            "telephone_number": "662-837-9990",
            "fax_number": "662-837-6969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 E Waldron St",
            "address_purpose": "LOCATION",
            "city": "Corinth",
            "state": "MS",
            "postal_code": "388344756",
            "country_code": "US",
            "telephone_number": "662-286-5333",
            "fax_number": "662-286-0052",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 3rd Ave N",
            "address_purpose": "LOCATION",
            "city": "Amory",
            "state": "MS",
            "postal_code": "388213413",
            "country_code": "US",
            "telephone_number": "662-257-9811",
            "fax_number": "662-257-9817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MERCY HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "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": "205-652-6167"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MS",
            "license": "053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Hospice of the South",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ripley, MS

Sources for this page

Verify at the official NPI Registry.