Organization Active NPI

Watch Care, LLC

  • Community Based Hospice Care Agency
  • Salem, AR
National Provider Identifier
1609995653
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
AR4255 Issued in AR
Legal business name
WATCH CARE, LLC
Practice address
111 N Main St Ste 1
Salem, AR 72576-9473
Phone
(870) 895-2651
Fax
(870) 895-5520
NPI assigned
Mar 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Lewis Clark Blair
Title
Ceo
Phone
(205) 652-6167

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X AR4255 AR Primary

Addresses

Primary practice location

111 N Main St Ste 1
Salem, AR 72576-9473

Mailing address

PO Box 2130
Daphne, AL 36526-2130
Phone (205) 652-6167

Other practice location 1

213 W Main St
Walnut Ridge, AR 72476
Phone (870) 886-5800

Other practice location 2

702 N Main St Ste A
Harrison, AR 72601
Phone (870) 743-6996

Other identifiers 1

IdentifierTypeStateIssuer
155743147MedicaidAR

Other names 1

  • Legacy Hospice of North Arkansas Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040907001320 AR Part A Provider - Hospice 2567438948 Practice locations: Batesville, AR; Harrison, AR; Salem, AR; Walnut Ridge, AR

Hospice certification: CCN 041571

Legal name
WATCH CARE LLC
Doing business as
LEGACY HOSPICE OF NORTH ARKANSAS
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jan 4, 2005
Last certification
Mar 23, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Nov 1, 2019 in AL
Enrollment address
111 N Main St
Ste 1
Salem, AR 72576-9473

Care Compare: Hospice

Medicare Care Compare
Listed as
Legacy Hospice of North ArkansasCCN 041571
Ownership
For-Profit
Certified
Jan 4, 2005
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D1038349Legacy Hospice of North Arkansas111 N Main St Suite 1, Salem, AR 72576Certificate of waiverMar 15, 2027

National Provider Directory

National Provider Directory

Locations

2485 Harrison St
Batesville, AR 72501
Phone (870) 895-2651

702 N Main St
Ste A-1
Harrison, AR 72601
Phone (870) 743-6996

702 N Main St
Ste A
Harrison, AR 72601
Phone (870) 743-6996

106 W Locust St
#1
Salem, AR 72576
Phone 8708952651101

106 W Locust St
Salem, AR 72576
Phone (870) 500-4225

314 Highway 62 W
Salem, AR 72576

213 W Main St
Walnut Ridge, AR 72476
Phone (870) 886-5800

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 W-2 Managing EmployeeCoo Oct 1, 2022
Operational/Managerial ControlCoo Oct 1, 2022
Clay Jones Individual W-2 Managing EmployeeChief People Officer Feb 1, 2023
Operational/Managerial ControlChief People Officer Feb 1, 2023
Matthew a Quick Individual Contracted Managing EmployeeMD; May 1, 2023
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%
LH Holding Company LLC Organization, Daphne, AL LLC, Holding company, For-profit 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 EmployeeCfo Dec 1, 2022
Operational/Managerial ControlCfo Dec 1, 2022
Lewis Clark Blair Individual Corporate OfficerCeo Dec 3, 2019
Corporate DirectorCeo Dec 3, 2019
W-2 Managing EmployeeCeo Dec 3, 2019
Katie N Sanders Individual Corporate DirectorDirector of Systems and Control Oct 1, 2022
W-2 Managing EmployeeDirector of Systems and Control Oct 1, 2022
Bcdi Legacy Midco, LLC Organization, Boston, MA Created for acquisition, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 10, 2025 100%
Rosha O'Neal Individual W-2 Managing EmployeeAd; May 1, 2022
Bcdi Legacy Investor, LP Organization, Boston, MA Created for acquisition, Holding company 5% Or Greater Indirect Ownership Interest Nov 10, 2025 96.71%
Bcdi Legacy Topco, LLC Organization, Boston, MA Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 10, 2025 100%
Legacy Operating Company LLC Organization, Daphne, AL Created for acquisition, 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.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 6

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": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747267200000",
    "number": "1609995653",
    "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": "205-652-6167",
            "fax_number": "205-742-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N MAIN ST STE 1",
            "city": "SALEM",
            "state": "AR",
            "postal_code": "725769473",
            "telephone_number": "870-895-2651",
            "fax_number": "870-895-5520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "213 W Main St",
            "address_purpose": "LOCATION",
            "city": "Walnut Ridge",
            "state": "AR",
            "postal_code": "72476",
            "country_code": "US",
            "telephone_number": "870-886-5800",
            "fax_number": "870-886-5801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "702 N Main St Ste A",
            "address_purpose": "LOCATION",
            "city": "Harrison",
            "state": "AR",
            "postal_code": "72601",
            "country_code": "US",
            "telephone_number": "870-743-6996",
            "fax_number": "870-743-9693",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WATCH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A",
        "authorized_official_last_name": "BLAIR",
        "authorized_official_first_name": "LEWIS",
        "authorized_official_middle_name": "CLARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "205-652-6167",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "AR",
            "license": "AR4255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155743147",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Hospice of North Arkansas",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Legacy Hospice of North Arkansas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salem, AR

Sources for this page

Verify at the official NPI Registry.