Organization Active NPI

Legacy Opco LLC

  • Skilled Nursing Facility
  • Fort Smith, AR
National Provider Identifier
1962335513
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on Jun 4, 2026

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.