NPI age
5 years
Enumerated 2020-10-28
● Active Type 2 · Organization
Legacy Hospice Ga, Llc
Legacy Hospice Ga, Llc is 1 of 591 hospice care, community based organizations in Georgia.
Primary specialty
Hospice Care, Community Based
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Maberry
Executive Vice President
Last NPPES update
2024-08-05
Source: monthly bulk 2026-05
How this organization compares
Across 591 active hospice care, community based providers in Georgia.
NPI age
5 years
↓ 6 yr below median
Practice locations
2
1 secondary on file
Subspecialties
0
NPI lifetime · 2020 → 2026
2020-10Enumerated in NPPES
2020
2026
Where they practice
Primary practice location
106 Shoppers Way Ste 111
Brunswick, GA 315250522
Mailing address
101 W Renner Rd Ste 420
Richardson, TX 750822022
Additional practice locations
1 secondary location on file with NPPES.
Location 2
205 S Tallahassee St
Hazlehurst, GA 315396025
Authorized official
Donnie Maberry
Executive Vice President
📞 9724688070
Specialties
-
Hospice Care, Community Based PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003250312A | |
| 01 (GA) | 11D2210199 | CLIA |
| 01 (GA) | HSPC001445 | STATE OPERATOR'S LICENSE # |
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Coastal Hospice of Georgia
-
Coastal Hospice of Georgia
Practice context
Multi-site organization. 1 additional practice location on file.
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