Active NPI
Woods Haven Nursing Care and Rehabilitation
- Skilled Nursing Facility
- Pollock, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 376
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1515264 | Medicaid | LA |
Other names 2
- LEGACY NURSING AND REHABILITATION OF POLLOCK
- WOODS HAVEN NURSING CARE & REHABILITATION
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Pollock
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Feb 13, 1990
- Medicare certification status
- Active
- Certified beds
- 103
- Chain
- Legacy Nursing & Rehabilitation
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| LP2 Holdings LLC | Adp of the SNF | Jan 1, 2024 | |
| Victor D Gum | 5% Or Greater Indirect Ownership Interest | Jan 1, 2024 | 46% |
| Corporate Officer | Jan 1, 2024 | 100% | |
| Adp of the SNF | Jan 1, 2024 | ||
| Adp of the SNF | Jan 23, 2026 | ||
| Adp of the SNF | Jan 23, 2026 | ||
| Mylesh, LLC | 5% Or Greater Indirect Ownership Interest | Jan 1, 2024 | 8% |
| Adp of the SNF | Jan 1, 2024 | ||
| John Gum | 5% Or Greater Indirect Ownership Interest | Jan 1, 2024 | 23% |
| Adp of the SNF | Jan 1, 2024 | ||
| Myles Holyfield | 5% Or Greater Indirect Ownership Interest | Jan 1, 2024 | 8% |
| Adp of the SNF | Jan 1, 2024 | ||
| Jdgum, LLC | 5% Or Greater Indirect Ownership Interest | Jan 1, 2024 | 23% |
| Adp of the SNF | Jan 1, 2024 | ||
| Brian M Smith | Operational/Managerial Control | Jan 12, 2016 | |
| Adp of the SNF | Jan 12, 2016 | ||
| VDG LLC | 5% Or Greater Indirect Ownership Interest | Jan 1, 2024 | 46% |
| Adp of the SNF | Jan 1, 2024 | ||
| Dgprejean, LLC | 5% Or Greater Indirect Ownership Interest | Jan 1, 2024 | 23% |
| Adp of the SNF | Jan 1, 2024 | ||
| Adp of the SNF | Jan 23, 2026 | ||
| Debbie Nugent | Operational/Managerial Control | Jan 1, 2024 | |
| Adp of the SNF | Jan 1, 2024 | ||
| Danielle G Prejean | 5% Or Greater Indirect Ownership Interest | Jan 1, 2024 | 23% |
| Adp of the SNF | Jan 1, 2024 | ||
| Adp of the SNF | Jan 23, 2026 | ||
| Pollock Opco LLC | 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.
-
- Family Medicine Physician
- Sarepta, LA
- NPI 1154395697
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 3
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Tallulah, LA
- NPI 1265086979
Dgprejean, LLC, Jdgum, LLC, Mylesh, LLC, VDG 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.
-
- Family Medicine Physician
- Sarepta, LA
- NPI 1154395697
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; 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.