NPIMap

Organization Active NPI

Mercy Hospice LLC

Doing business as Legacy Hospice of the South

  • Community Based Hospice Care Agency
  • Starkville, MS
National Provider Identifier
1902105976
Registry record updated Oct 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
151 Issued in MS
Legal business name
MERCY HOSPICE LLC
Doing business as
Legacy Hospice of the South
Practice address
1111 Stark Rd
Starkville, MS 39759-3556
Phone
(662) 338-0007
Fax
(662) 338-0025
NPI assigned
Mar 16, 2011
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 151 MS Primary

Addresses

Primary practice location

1111 Stark Rd
Starkville, MS 39759-3556

Mailing address

PO Box 2130
Daphne, AL 36526-2130
Phone (206) 652-6167

Other practice location 1

2307 12th St
Meridian, MS 39301-3934
Phone (601) 313-9590

Other identifiers 1

IdentifierTypeStateIssuer
05677023MedicaidMS

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
O20110517000274 MS Part A Provider - Hospice 2466495841 Practice locations: Meridian, MS; Starkville, MS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902105976. Details of each certification follow.

Hospice certification: CCN 251638

Legal name
MERCY HOSPICE LLC
Doing business as
LEGACY HOSPICE OF THE SOUTH
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jan 16, 2007
Last certification
Dec 2, 2021
Ownership / control type
Proprietary - Other
Organization structure
LLCProprietary
Incorporated
Sep 21, 1998 in MS
Enrollment address
1111 Stark Rd
Starkville, MS 39759-3556

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 SouthCCN 251638 · All quality measures
Ownership
For-Profit
Certified
Jan 16, 2007
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

2307 12th St
Meridian, MS 39301
Phone (601) 313-9590

1085 Stark Rd
Ste F
Starkville, MS 39759
Phone (662) 338-0007

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 26, 2023
Operational/Managerial ControlChief People Officer Jun 26, 2023
Cameron Huxford Individual Contracted Managing EmployeeMD; Jun 21, 2020
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%
Brandi C. Wyatt Individual W-2 Managing EmployeeAd; Jul 14, 2024
LH Holding Company LLC Organization, Chicago, IL LLC 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 6.72%
Andrew P Lofaso Individual W-2 Managing EmployeeVP of Finance, Controller Dec 1, 2022
Operational/Managerial ControlVP of Finance, Controller Dec 1, 2022
Lewis Clark Blair Individual Operational/Managerial ControlCeo Dec 3, 2019
Katie N Sanders Individual W-2 Managing EmployeeDirector of Systems and Controls Jan 1, 2022
Bcdi Legacy Midco, LLC Organization, Boston, MA Created for acquisition, LLC, 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 1, 2025 96.71%
Bcdi Legacy Topco, LLC Organization, Boston, MA Created for acquisition, LLC, 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 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.

  • 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
    • 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
    • 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 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": "1300233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760227200000",
    "number": "1902105976",
    "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": "206-652-6167",
            "fax_number": "205-652-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 STARK RD",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397593556",
            "telephone_number": "662-338-0007",
            "fax_number": "662-338-0025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2307 12th St",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "MS",
            "postal_code": "393013934",
            "country_code": "US",
            "telephone_number": "601-313-9590",
            "fax_number": "601-510-7730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MERCY HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-16",
        "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": "151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05677023",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Hospice of the South",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Legacy Hospice of the South",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Starkville, MS

Sources for this page

Verify at the official NPI Registry.