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LEGACY HEALTH & REHABILITATION CENTER
NPI 1740236777
Skilled Nursing Facility in Fort Smith, AR

Active since May 25, 2006CLIA 04D0686472 · Waiver
3310 N 50TH ST, FORT SMITH, AR 72904(479) 783-3101 Get Directions Write a Review

NPPES record last updated: October 26, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Legacy Health & Rehabilitation Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEGACY HEALTH & REHABILITATION CENTER (NPI 1740236777) is a healthcare organization registered as a skilled nursing facility in Fort Smith, Arkansas and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Phillip Cody Long, Cfo, as its authorized official.

NPPES Registry Identity

NPI1740236777
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameNORTHPORT HEALTH SERVICES OF ARKANSAS, LLC
Location Address3310 N 50TH STFort Smith, AR 72904-4451
Mailing Address3310 N 50th StFort Smith, AR 72904-4451 · (479) 783-3101
Phone(479) 783-3101
Organization SubpartNo
Authorized OfficialPhillip Cody LongCfo · (205) 391-3600
Enumeration DateMay 25, 2006
Last NPPES UpdateOctober 26, 2020
NPPES CertifiedOctober 26, 2020
✔ NPI 1740236777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License✔ Licensed in AR · 593
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
3310 N 50TH ST, Fort Smith, AR 72904
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Other Names 1

Doing Business AsLegacy Health & Rehabilitation Center

Other Identifiers 1

Medicaid119591311AR

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 04D0686472

Legacy Health & Rehabilitation Center · Fort Smith, AR
Active · expires Aug 31, 2026
CLIA Number04D0686472
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorEnrique Gomez
Laboratory Phone(479) 783-3101
Laboratory LocationLegacy Health & Rehabilitation Center3310 North 50th, Fort Smith, AR 72904
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEGACY OPCO LLC
Skilled Nursing Facility
3310 N 50TH ST
FORT SMITH, AR 72904
Sebastian County (732) 330-2157

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northport Health Services Of Arkansas, LLC's NPI number?

The NPI number for Northport Health Services Of Arkansas, LLC is 1740236777. It was assigned to this organization in the NPPES registry on May 25, 2006. The provider is doing business as Legacy Health & Rehabilitation Center.

Where is Northport Health Services Of Arkansas, LLC located?

Northport Health Services Of Arkansas, LLC is located at 3310 N 50th St, Fort Smith, AR 72904. The listed phone number is (479) 783-3101.

What is Northport Health Services Of Arkansas, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Northport Health Services Of Arkansas, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D0686472) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Northport Health Services Of Arkansas, LLC was last updated on October 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.