Active NPI
Legacy Opco LLC
- Skilled Nursing Facility
- Fort Smith, AR
National Provider Identifier
1962335513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- LEGACY OPCO LLC
- Practice address
- 3310 N 50TH St
Fort Smith, AR 72904-4451 - Phone
- (732) 330-2157
- NPI assigned
- Jun 4, 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
- Esti Pruzansky
- Title
- Director of Revenue Management
- Phone
- (732) 330-2157
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
3310 N 50TH St
Fort Smith, AR 72904-4451
Mailing address
175 Route 70 Ste 208
Toms River, NJ 08755-0954
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780531200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780531200000",
"number": "1962335513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 ROUTE 70 STE 208",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087550954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3310 N 50TH ST",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729044451",
"telephone_number": "732-330-2157"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEGACY OPCO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-04",
"last_updated": "2026-06-04",
"certification_date": "2026-06-04",
"status": "A",
"authorized_official_last_name": "PRUZANSKY",
"authorized_official_first_name": "ESTI",
"authorized_official_title_or_position": "DIRECTOR OF REVENUE MANAGEMENT",
"authorized_official_telephone_number": "732-330-2157"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Smith, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.