Organization Active NPI

Woods Haven Nursing Care and Rehabilitation

  • Skilled Nursing Facility
  • Pollock, LA
National Provider Identifier
1790714871
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
376 Issued in LA
Legal business name
WOODS HAVEN NURSING CARE AND REHABILITATION
Practice address
8275 Hwy 165
Pollock, LA 71467
Phone
(318) 765-3557
Fax
(318) 765-9862
NPI assigned
Jul 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 376 LA Primary

Addresses

Primary practice location

8275 Hwy 165
Pollock, LA 71467

Mailing address

2431 S Acadian Thruway Ste 100
Baton Rouge, LA 70808-2300
Phone (225) 800-4954

Other identifiers 1

IdentifierTypeStateIssuer
1515264MedicaidLA

Other names 2

  • LEGACY NURSING AND REHABILITATION OF POLLOCK Doing business as
  • WOODS HAVEN NURSING CARE & REHABILITATION Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110607000696 LA Part A Provider - Skilled Nursing Facility 4587841135 Practice locations: Pollock, LA

Skilled nursing facility certification: CCN 195249

Legal name
WOODS HAVEN NURSING CARE AND REHABILITATION
Doing business as
LEGACY NURSING AND REHABILITATION OF POLLOCK
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Feb 13, 1990
Last certification
Jul 24, 2024
Beds
103
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Legacy Management Group
Organization structure
CorporationProprietary
Enrollment address
8275 Highway 165
Pollock, LA 71467-3073
Nursing home name
LEGACY NURSING AND REHABILITATION OF POLLOCK
Affiliated entity
LEGACY NURSING & REHABILITATION

Care Compare: Nursing home

Medicare Care Compare
Listed as
Legacy Nursing and Rehabilitation of PollockCCN 195249
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Feb 13, 1990
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10388.0 residents per day on average
Chain
Legacy Nursing & Rehabilitation9 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
LP2 Holdings LLC Organization, Baton Rouge, LA LLC, Holding company, For-profit Adp of the SNF Jan 1, 2024
Victor D Gum Individual 5% Or Greater Indirect Ownership InterestMember Jan 1, 2024 46%
Corporate OfficerManager Jan 1, 2024 100%
Adp of the SNF Jan 1, 2024
Organization, Baton Rouge, LA LLC, Consulting firm, For-profit Adp of the SNF Jan 23, 2026
Organization, Lafayette, LA LLC, Medical staffing company, For-profit Adp of the SNF Jan 23, 2026
Mylesh, LLC Organization, West Monroe, LA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 1, 2024 8%
Adp of the SNF Jan 1, 2024
John Gum Individual 5% Or Greater Indirect Ownership InterestMember Jan 1, 2024 23%
Adp of the SNF Jan 1, 2024
Myles Holyfield Individual 5% Or Greater Indirect Ownership InterestMember Jan 1, 2024 8%
Adp of the SNF Jan 1, 2024
Jdgum, LLC Organization, Austin, TX LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 1, 2024 23%
Adp of the SNF Jan 1, 2024
Brian M Smith Individual Operational/Managerial Control Jan 12, 2016
Adp of the SNF Jan 12, 2016
VDG LLC Organization, Baton Rouge, LA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 1, 2024 46%
Adp of the SNF Jan 1, 2024
Dgprejean, LLC Organization, Plaquemine, LA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 1, 2024 23%
Adp of the SNF Jan 1, 2024
Organization, Irving, TX LLC, Medical staffing company, For-profit Adp of the SNF Jan 23, 2026
Debbie Nugent Individual Operational/Managerial Control Jan 1, 2024
Adp of the SNF Jan 1, 2024
Danielle G Prejean Individual 5% Or Greater Indirect Ownership InterestMember Jan 1, 2024 23%
Adp of the SNF Jan 1, 2024
Organization, Pineville, LA LLC, For-profit Adp of the SNF Jan 23, 2026
Pollock Opco LLC Organization, Baton Rouge, LA Created for acquisition, LLC, Management services company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 1, 2024 100%
Operational/Managerial Control Jan 1, 2024
Adp of the SNF Jan 1, 2024

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770595200000",
    "number": "1790714871",
    "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 HWY 165",
            "city": "POLLOCK",
            "state": "LA",
            "postal_code": "71467",
            "telephone_number": "318-765-3557",
            "fax_number": "318-765-9862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODS HAVEN NURSING CARE AND REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "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": "LA",
            "license": "376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1515264",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LEGACY NURSING AND REHABILITATION OF POLLOCK",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WOODS HAVEN NURSING CARE & REHABILITATION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pollock, LA

Sources for this page

Verify at the official NPI Registry.