LEGACY HOSPICE OF SOUTH GA, LLC
NPI 1760204630
Hospice Care, Community Based in Hazlehurst, GA
NPI Status: Active since October 30, 2024
Contact Information
205 S TALLAHASSEE ST STE A
HAZLEHURST, GA
ZIP 31539
Phone: (912) 527-8602
Fax: (912) 527-8671
- Organization
- Hospice Care, Community Based
- CLIA Number: 11D2314512
- CLIA Cert. Type: Hospice
- CLIA Exp. Date: 11-20-2026
About LEGACY HOSPICE OF SOUTH GA, LLC
This page provides the complete NPI Profile along with additional information for Legacy Hospice Of South Ga, Llc, a provider established in Hazlehurst, Georgia operating as a Hospice Care, Community Based. The healthcare provider is registered in the NPI registry with number 1760204630 assigned on October 2024. The practitioner's primary taxonomy code is 251G00000X. The provider is registered as an organization and their NPI record was last updated May 2026. The authorized official of this NPI record is Donnie Maberry (Executive Vice President)
- NPI
- 1760204630
- Provider Name
- LEGACY HOSPICE OF SOUTH GA, LLC
- Entity Type
- Organization
- Location Address
- 205 S TALLAHASSEE ST STE A HAZLEHURST, GA 31539
- Location Phone
- (912) 527-8602
- Location Fax
- (912) 527-8671
- Mailing Address
- 101 W RENNER RD STE 420 RICHARDSON, TX 75082
- Mailing Phone
- (877) 525-3338
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-30-2024
- Last Update Date
- 05-12-2026
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Hospice Care, Community Based
- Taxonomy Code
- 251G00000X
- Type
- Agencies
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 11D2314512
- Facility Type
- Hospice
- Certificate Effective Date
- November 21, 2024
- Certificate Expiration Date
- November 20, 2026
- Laboratory Director
- ELISHA M. ALLDAY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Legacy Hospice Of South Ga, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1760204630, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 60 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760204630, enumerated as an "organization" on October 30, 2024.
The provider is located at 205 S TALLAHASSEE ST STE A HAZLEHURST, GA 31539 and the phone number is (912) 527-8602.
Hospice Care, Community Based with taxonomy code 251G00000X.
