Active NPI
Wheeler Avenue Operating LLC
- Skilled Nursing Facility
- Fort Smith, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- WHEELER AVENUE OPERATING LLC
- Practice address
- 5301 Wheeler Ave
Fort Smith, AR 72901-8339 - Phone
- (479) 646-3454
- NPI assigned
- Mar 12, 2021
- Last updated
- Aug 24, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yisroel Ganz
- Title
- Incorporator
- Phone
- (732) 366-5705
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
5301 Wheeler Ave
Fort Smith, AR 72901-8339
Mailing address
1999 Cedarbridge Ave Ste 3B
Lakewood, NJ 08701-7048
Phone (732) 366-5705
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211201002213 | AR | Part A Provider - Skilled Nursing Facility | 5597155754 | Practice locations: Fort Smith, AR |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1962087825. Details of each certification follow.
Skilled nursing facility certification: CCN 045345
- Legal name
- WHEELER AVENUE OPERATING LLC
- Doing business as
- BLOSSOMS AT FORT SMITH REHAB & NURSING CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Sep 11, 1998
- Last certification
- May 23, 2024
- Beds
- 130
- Ownership / control type
- Partnership
- Organization structure
- LLC
- Incorporated
- Dec 1, 2020 in AR
- Enrollment address
- 5301 Wheeler Avenue
Fort Smith, AR 72901-8339 - Nursing home name
- THE BLOSSOMS AT FORT SMITH REHAB & NURSING CENTER
- Affiliated entity
- THE BLOSSOMS REHAB & NURSING CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- The Blossoms at Fort Smith Rehab & Nursing Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Partnership
- Certified
- Sep 11, 1998
- Medicare certification status
- Active
- Certified beds
- 130
- Chain
- The Blossoms Rehab & Nursing Center
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 04D0680421 | Blossoms at Fort Smith, the | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 6
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Aks Ar Opoc LLC | 5% Or Greater Indirect Ownership Interest | Jan 1, 2023 | 64.67% |
| Abraham Schreiber | 5% Or Greater Indirect Ownership Interest | Jan 1, 2023 | 64.67% |
| Brandon B Brown | Operational/Managerial Control | Jul 5, 2022 | |
| Adp of the SNF | Jul 5, 2022 | ||
| ZCS Ar Opco LLC | 5% Or Greater Indirect Ownership Interest | Jan 1, 2023 | 32.33% |
| Arkansas Opco Holding LLC | 5% Or Greater Direct Ownership Interest | Apr 5, 2021 | 100% |
| Shlomo Z Scheinbaum | 5% Or Greater Indirect Ownership Interest | Jan 1, 2023 | 32.33% |
Facilities with the same owner 22
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Little Rock, AR
- NPI 1427633353
ZCS Ar Opco LLC
-
- Skilled Nursing Facility
- White Hall, AR
- NPI 1134704091
Aks Ar Opoc LLC, ZCS Ar Opco LLC
-
- Skilled Nursing Facility
- Hot Springs, AR
- NPI 1912582891
ZCS Ar Opco LLC
-
- Skilled Nursing Facility
- Eureka Springs, AR
- NPI 1164123592
ZCS Ar Opco LLC
-
- Skilled Nursing Facility
- North Little Rock, AR
- NPI 1083299937
ZCS Ar Opco LLC
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": "1615507200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787529600000",
"number": "1962087825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1999 CEDARBRIDGE AVE STE 3B",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087017048",
"telephone_number": "732-366-5705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5301 WHEELER AVE",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729018339",
"telephone_number": "479-646-3454"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHEELER AVENUE OPERATING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-12",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A",
"authorized_official_last_name": "GANZ",
"authorized_official_first_name": "YISROEL",
"authorized_official_title_or_position": "INCORPORATOR",
"authorized_official_telephone_number": "732-366-5705"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Smith, AR
- Western Arkansas Medical LLC
- Western Arkansas Obstetric Anesthesia LLC
- Western Arkansas Plastic & Reconstructive Surgery Center
- Western Arkansas Surgical Center
- Brett D Whatcott, DO
- Danielle E Wheeler, LPC, LMFT
- John Wheeler
- John C Whitaker, MD
- Nicholas Taylor Whitaker, QBHP
- Thurithabhani Udathari Whitaker, CRNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.