Organization Active NPI

Legacy Heights Nursing and Rehab, LLC

  • Skilled Nursing Facility
  • Russellville, AR
National Provider Identifier
1568755635
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LEGACY HEIGHTS NURSING AND REHAB, LLC
Practice address
900 W 12TH St
Russellville, AR 72801-6606
Phone
(479) 968-5858
NPI assigned
May 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Authorized official

Name
Mr. Michael S. Morton
Title
Member
Phone
(479) 783-4672

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

900 W 12TH St
Russellville, AR 72801-6606

Mailing address

415 Rogers Ave
Fort Smith, AR 72901-1903
Phone (479) 783-4672

Other identifiers 1

IdentifierTypeStateIssuer
187369311MedicaidAR

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110826000694 AR Part A Provider - Skilled Nursing Facility 5991975062 Practice locations: Russellville, AR

Skilled nursing facility certification: CCN 045410

Legal name
LEGACY HEIGHTS NURSING AND REHAB, LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 1, 2006
Last certification
Apr 18, 2024
Beds
122
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Enrollment address
900 W 12TH St
Russellville, AR 72801-6606
Nursing home name
LEGACY HEIGHTS NURSING AND REHAB, LLC
Affiliated entity
CENTRAL ARKANSAS NURSING CENTERS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Legacy Heights Nursing and Rehab, LLCCCN 045410 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Apr 1, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12275.7 residents per day on average
Chain
Central Arkansas Nursing Centers38 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

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
04D0670410Legacy Heights Nursing and Rehab900 West 12TH, Russellville, AR 72801Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
David L Norsworthy Individual 5% Or Greater Direct Ownership Interest10 Apr 7, 2011
Adp of the SNF Dec 12, 2024
Paralea L Hursh Individual 5% Or Greater Direct Ownership Interest Dec 12, 2024 5%
Adp of the SNF Dec 12, 2024
Central Arkansas Nursing Centers Inc Organization, Fort Smith, AR Corporation, Consulting firm Adp of the SNF Jan 1, 2025
Legacy Heights Manor LLC Organization, Fort Smith, AR LLC Adp of the SNF Dec 12, 2024
Ginger Dixon Individual Operational/Managerial Control Dec 10, 2024
Adp of the SNF Oct 20, 2004
Jerry D Sams Individual 5% Or Greater Direct Ownership Interest5 Dec 12, 2024
Adp of the SNF Dec 12, 2024
Nursing Consultants Inc Organization, Fort Smith, AR Corporation, Consulting firm Adp of the SNF Jan 1, 2025
Michael S Morton Individual 5% Or Greater Direct Ownership InterestPresident & Shareholder Dec 12, 2024 80%
Adp of the SNF Dec 12, 2024
Mary a Pugh Individual Adp of the SNF Dec 10, 2024

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1306195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787184000000",
    "number": "1568755635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 ROGERS AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729011903",
            "telephone_number": "479-783-4672",
            "fax_number": "479-783-2217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W 12TH ST",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728016606",
            "telephone_number": "479-968-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY HEIGHTS NURSING AND REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-24",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A",
        "authorized_official_last_name": "MORTON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "479-783-4672",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187369311",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Russellville, AR

Sources for this page

Verify at the official NPI Registry.