Active NPIOrganization

Legacy Opco LLC

Skilled Nursing Facility in Fort Smith, Arkansas

NPI Number1962335513
Practice location
3310 N 50TH St, Fort Smith, AR 72904-4451
Fax
—
Last updated
June 4, 2026

Legacy Opco LLC is a healthcare organization based in Fort Smith, AR. Legacy Opco LLC practices in Fort Smith, AR. The NPI Number for Legacy Opco LLC is 1962335513. The current practice location address for Legacy Opco LLC is 3310 N 50TH St, Fort Smith, AR 72904-4451 and can be reached out via phone at 732-330-2157.

Provider Profile Details

NPI Number
1962335513
Provider Name
Legacy Opco LLC
Provider Entity Type
Organization
Address
3310 N 50TH St, Fort Smith, AR 72904-4451
Phone Number
732-330-2157
Primary Taxonomy
Skilled Nursing Facility · 314000000X
Organization Subpart
No
Authorized Official
Esti Pruzansky · Director Of Revenue Management · 732-330-2157
Provider Enumeration Date
June 4, 2026
Last Update Date
June 4, 2026
Certification Date
June 4, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
3310 N 50TH St
Fort Smith, AR 72904-4451
Zip
72904-4451
Phone Number
732-330-2157
Fort Smith, AR 72904Get directions →

Provider Business Mailing Address Details

Address
175 Route 70 Ste 208
Toms River, NJ 08755-0954
City
Toms River
State
NJ
Zip
08755-0954

License Information

Taxonomy
Skilled Nursing Facility · 314000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Legacy Opco LLC?

The NPI number of Legacy Opco LLC is 1962335513. It was assigned on June 4, 2026 and is currently active in the NPPES registry.

What is the specialty of Legacy Opco LLC?

Legacy Opco LLC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X).

Where does Legacy Opco LLC practice?

The practice location is 3310 N 50TH St, Fort Smith, AR 72904-4451. The office can be reached at 732-330-2157 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1962335513 directly on the NPPES registry website.

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