OrganizationActive
Legacy Hospice Ga LLC
NPI 1861158768 · Community Based Hospice Care Agency · Hazlehurst, GA
Provider details
- NPI number
- 1861158768
- Entity type
- Organization
- Primary specialty
- Community Based Hospice Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Donnie Maberry, Executive Vice President(972) 468-8070
Specialties & taxonomies
Agencies
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
205 S Tallahassee St
Hazlehurst, GA 31539-6025
Phone: (912) 388-3376
Fax: (912) 559-5705
Street-level locationGet directions
Mailing address
101 W Renner Rd Ste 420
Richardson, TX 75082-2022
Other names (DBA / former)
- Doing business as
- Coastal Hospice of Georgia
- Doing business as
- Coastal Hospice of Georgia
Additional practice locations (1)
- 106 Shoppers Way Ste 111Brunswick, GA 31525-0522Phone: (912) 434-9810Fax: (912) 434-9752
Registry dates
- Enumerated
- 2021-11-15
- Last updated
- 2026-04-29
- Certified
- 2026-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.