Pollock Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

POLLOCK OPCO LLC

Doing business as

Legacy Nursing and Rehabilitation of Pollock

Practice address

8275 Highway 165
Pollock, LA 71467-3073

Phone

(318) 765-3557

Fax

(318) 765-9862

NPI assigned

Aug 29, 2023

Last updated

Aug 29, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

LP2 HOLDINGS LLCAs reported in NPPES

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

Authorized official

Name

Victor Devin Gum

Title

Manager

Phone

(225) 800-4954

Specialties & licenses 1

Addresses

Other names 1

• LEGACY NURSING AND REHABILITATION OF POLLOCK Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1693267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693267200000",
    "number": "1013792944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2431 S ACADIAN THRUWAY STE 100",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708082300",
            "telephone_number": "225-800-4954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8275 HIGHWAY 165",
            "city": "POLLOCK",
            "state": "LA",
            "postal_code": "714673073",
            "telephone_number": "318-765-3557",
            "fax_number": "318-765-9862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLLOCK OPCO LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LP2 HOLDINGS LLC",
        "enumeration_date": "2023-08-29",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-04",
        "status": "A",
        "authorized_official_last_name": "GUM",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "DEVIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "225-800-4954"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LEGACY NURSING AND REHABILITATION OF POLLOCK",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bart E Liles, LPC LMFT
• Cassie Murphy, M.A. CCC-SLP
• Samuel Sagwe Onchiri
• Anna Claire Oneal
• Terri A Pizanie, FNP-C
• Christopher Michael Reimer, FNP-C
• Daniel Reid Rockett, PHARMD.
• Winn Community Health Center, Inc. (East Grant Community Health Center Pharmacy)
• Winn Community Health Center, Inc. (East Grant Community Health Center)
• Woods Haven Nursing Care and Rehabilitation (Legacy Nursing and Rehabilitation of Pollock)

• Skilled Nursing Facility in Pollock, LA
• Providers in Pollock, LA by specialty
• Skilled Nursing Facility in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.