Active NPI
Plaquemine Caring, LLC
Doing business as Legacy Nursing and Rehabilitation of Plaquemine
- Skilled Nursing Facility
- Plaquemine, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 441
- Legal business name
- PLAQUEMINE CARING, LLC
- Doing business as
- Legacy Nursing and Rehabilitation of Plaquemine
- Practice address
- 59215 River West Dr
Plaquemine, LA 70764-6552 - Phone
- (225) 687-0240
- Fax
- (225) 687-0249
- NPI assigned
- May 3, 2006
- Last updated
- May 2, 2019
- 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
- Mr. Victor D. Gum
- Title
- Manager
- Phone
- (225) 800-4955
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 441 | LA | Primary |
Addresses
Primary practice location
59215 River West Dr
Plaquemine, LA 70764-6552
Mailing address
59215 River West Dr
Plaquemine, LA 70764-6552
Phone (225) 687-0240
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1520080 | Medicaid | LA |
Other names 1
- Legacy Nursing and Rehabilitation of Plaquemine
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080421000204 | LA | Part A Provider - Skilled Nursing Facility | 0749368587 | Practice locations: Plaquemine, LA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1598723769. Details of each certification follow.
Skilled nursing facility certification: CCN 195343
- Legal name
- PLAQUEMINE CARING, LLC
- Doing business as
- LEGACY NURSING AND REHABILITATION OF PLAQUEMINE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- May 1, 1995
- Last certification
- Jan 29, 2025
- Beds
- 151
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Legacy Management Group
- Organization structure
- LLC
- Incorporated
- Jun 23, 1993 in LA
- Enrollment address
- 59215 River West Dr
Plaquemine, LA 70764-6552 - Nursing home name
- LEGACY NURSING AND REHABILITATION OF PLAQUEMINE
- Affiliated entity
- LEGACY NURSING & REHABILITATION
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Legacy Nursing and Rehabilitation of Plaquemine
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- May 1, 1995
- Medicare certification status
- Active
- Certified beds
- 151
- Chain
- Legacy Nursing & Rehabilitation
- Penalties (3 years)
- 3
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 |
|---|---|---|---|
| 19D0890166 | Legacy Nursing and Rehabilitation of Plaquemine | Certificate of waiver | Aug 11, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 7
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 |
|---|---|---|---|
| Victor D Gum | 5% Or Greater Indirect Ownership Interest | Aug 18, 2006 | 30% |
| Corporate Officer | Aug 18, 2006 | 30% | |
| W-2 Managing Employee | Aug 8, 2006 | 30% | |
| Gum Management, LLC | 5% Or Greater Direct Ownership Interest | Dec 18, 2015 | 100% |
| Operational/Managerial Control | Dec 18, 2015 | 100% | |
| John Gum | 5% Or Greater Indirect Ownership Interest | Aug 18, 2006 | 30% |
| Jared L Allen | W-2 Managing Employee | Jan 1, 2022 | |
| Legacy Management Group, LLC | Operational/Managerial Control | Apr 1, 2020 | |
| Danielle G Prejean | 5% Or Greater Indirect Ownership Interest | Aug 18, 2006 | 30% |
| John Nathaniel Gum | 5% Or Greater Indirect Ownership Interest | Aug 18, 2006 | 10% |
Facilities with the same owner 6
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Legacy Nursing and Rehabilitation of Franklin
- Skilled Nursing Facility
- Franklin, LA
- NPI 1770129967
Legacy Management Group, LLC
-
dba Legacy Nursing and Rehabilitation of Morgan City
- Skilled Nursing Facility
- Morgan City, LA
- NPI 1861038051
Legacy Management Group, LLC
-
dba Legacy Nursing and Rehabilitation of Port Allen
- Skilled Nursing Facility
- Port Allen, LA
- NPI 1063512903
Gum Management, LLC, Legacy Management Group, LLC
-
dba Legacy at St Christina
- Skilled Nursing Facility
- Pineville, LA
- NPI 1003691932
Legacy Management Group, LLC
-
dba Legacy Nursing & Rehabilitation of Tallulah
- Skilled Nursing Facility
- Tallulah, LA
- NPI 1265086979
Legacy Management Group, LLC
-
dba Legacy Nursing and Rehabilitation of Winnsboro
- Skilled Nursing Facility
- Winnsboro, LA
- NPI 1275180655
Legacy Management Group, LLC
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Port Allen, LA
- NPI 1720167869
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1556755200000",
"number": "1598723769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "59215 RIVER WEST DR",
"city": "PLAQUEMINE",
"state": "LA",
"postal_code": "707646552",
"telephone_number": "225-687-0240",
"fax_number": "225-687-0249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "59215 RIVER WEST DR",
"city": "PLAQUEMINE",
"state": "LA",
"postal_code": "707646552",
"telephone_number": "225-687-0240",
"fax_number": "225-687-0249"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLAQUEMINE CARING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-03",
"last_updated": "2019-05-02",
"status": "A",
"authorized_official_last_name": "GUM",
"authorized_official_first_name": "VICTOR",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "225-800-4955",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "LA",
"license": "441",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1520080",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Legacy Nursing and Rehabilitation of Plaquemine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Plaquemine, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; 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.