Mercy Hospice LLC
Organization Active NPI Community Based Hospice Care Agency · Ripley, MS
NPI 1386689016 · NPPES record last updated Oct 12, 2025
Key facts
- NPI
- 1386689016
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- License
- 053 (MS)
- Legal business name
- MERCY HOSPICE LLC
- Practice address
- 212 East Jefferson Street
Ripley, MS 38663 - Phone
- (662) 837-9990
- Fax
- (662) 837-6969
- NPI assigned
- Jun 17, 2006
- Organization subpart
- No
Authorized official
- Name
- Lewis C Blair
- Title
- Ceo
- Phone
- (205) 652-6167
Owners & managing parties with NPI records 1
-
Cameron S. Huxford, M.D.
Other NPIs with the same Medicare PAC ID 4
Corporate family (same tax ID) 4
Facilities with the same owner 12
Affiliated clinicians 5
-
Jeremy Robert Graham, D.O.
-
Cameron S. Huxford, M.D.
Medicare Care Compare: Hospice
- Listed as
- Legacy Hospice of the South (* Deemed )
- Ownership
- For-Profit
- Certified
- Feb 15, 1999
- Medicare certification status
- Active
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 25D0992347 | Mercy Hospice LLC Dba Legacy Hospice of the South | Certificate of waiver | Oct 14, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
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
- LLC · Proprietary
- Enrollment address
- 301E Waldron St
Corinth, MS 38834-4756
All disclosed owners & managing parties 15
| Name | Role | Since | Share |
|---|---|---|---|
| James G Corbin |
Corporate Director |
Apr 1, 2020 | |
| W-2 Managing Employee |
Apr 1, 2020 | ||
| Operational/Managerial Control |
Apr 1, 2020 | ||
| Clay Jones |
W-2 Managing Employee |
Apr 1, 2024 | |
| Operational/Managerial Control |
Apr 1, 2024 | ||
| Cameron Huxford |
Contracted Managing Employee |
Apr 1, 2024 | |
| 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 | Dec 3, 2019 | 100% |
| Bcip Double Impact II, LP |
5% Or Greater Indirect Ownership Interest | Nov 10, 2025 | 6.27% |
| Andrew P Lofaso |
W-2 Managing Employee |
Apr 1, 2024 | |
| Operational/Managerial Control |
Apr 1, 2024 | ||
| Lewis Clark Blair |
Corporate Officer |
Dec 3, 2019 | |
| W-2 Managing Employee |
Dec 3, 2019 | ||
| Katie N Sanders |
W-2 Managing Employee |
Dec 3, 2019 | |
| Operational/Managerial Control |
Dec 3, 2019 | ||
| Bcdi Legacy Midco, LLC |
5% Or Greater Indirect Ownership Interest | Nov 10, 2025 | 100% |
| Kelli Jaco |
W-2 Managing Employee |
Apr 1, 2024 | |
| Bcdi Legacy Investor, LP |
5% Or Greater Indirect Ownership Interest | Nov 10, 2025 | 96.71% |
| Bcdi Legacy Topco, LLC |
5% Or Greater Indirect Ownership Interest | Nov 10, 2025 | 100% |
| Legacy Operating Company LLC |
5% Or Greater Direct Ownership Interest | Dec 3, 2019 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050607000300 | MS | Part a Provider - Hospice | 2466495841 | Practice locations: Corinth, MS |
National Provider Directory
- Tax ID family
- Legacy Hospice of the South
Locations
201 3rd Ave N
Ste 2
Amory, MS 38821
8318 Jones Maltsberger Rd
Ste 121
San Antonio, TX 78216
Phone (210) 348-7529
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 053 | MS | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0251552 | Medicaid | TN | |
| 00770300 | Medicaid | MS |
Other names
- Legacy Hospice of the South
Other providers in Ripley, MS
- Med-Pro Home Health Supply and
- Shelly Meeks Medlin
- Meeks Pediatrics
- Charles Benjamin Meeks
- Nicole Mejia
- Mid-South Medical Supply, Inc
- Miller Psychiatry Clinic, Inc.
- Mississippi CVS Pharmacy LLC
- Mississippi Em-I Medical Services
- Mississippi State Department of Health
All providers in Ripley, MS · Community Based Hospice Care Agency in Mississippi
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.