LEGACY NURSING AND REHABILITATION OF WINNSBORO
NPI 1275180655
Skilled Nursing Facility in Winnsboro, LA

Q: What is Winnsboro Opco LLC's NPI number?

The NPI number for Winnsboro Opco LLC is 1275180655. It was assigned to this organization in the NPPES registry on August 21, 2019.

Q: What is Winnsboro Opco LLC's specialty?

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

Q: What quality rating does Winnsboro Opco LLC have?

CMS rates Legacy Nursing And Rehabilitation Of Winnsboro 2 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

Active since August 21, 2019CLIA 19D0672441 · Waiver

2/5

Overall Rating

804 POLK ST, WINNSBORO, LA 71295(318) 435-6116(318) 435-3993 Get Directions Write a Review

NPPES record last updated: August 23, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Legacy Nursing And Rehabilitation Of Winnsboro NPPES

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

LEGACY NURSING AND REHABILITATION OF WINNSBORO (NPI 1275180655) is a healthcare organization registered as a skilled nursing facility in Winnsboro, Louisiana and active in the NPI registry since August 2019. The organization holds a CLIA Waiver certificate valid through October 16, 2027 and lists Victor Devin Gum, Manager, as its authorized official.

NPPES Registry Identity

NPI1275180655

Entity TypeOrganization

Primary Taxonomy314000000X

Legal Business NameWINNSBORO OPCO LLC

Location Address804 POLK STWinnsboro, LA 71295-2350

Mailing Address8675 Bluebonnet Blvd Ste ABaton Rouge, LA 70810-2976 · (225) 800-4954

Phone(318) 435-6116

Fax(318) 435-3993

Organization SubpartNo

Authorized OfficialVictor Devin GumManager · (225) 800-4954

Enumeration DateAugust 21, 2019

Last NPPES UpdateAugust 23, 2019

✔ NPI 1275180655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities

Taxonomy Code314000000X

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.

804 POLK ST, Winnsboro, LA 71295

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Other Names 1

Doing Business AsLegacy Nursing And Rehabilitation Of Winnsboro

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.Insurance ›

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 19D0672441

Legacy Nursing & Rehabilation Of Winnsboro · Winnsboro, LA

Active · expires Oct 16, 2027

CLIA Number19D0672441

Laboratory TypeSkilled Nursing Facility/Nursing Facility

Certificate Effective DateOctober 17, 2025

Certificate Expiration DateOctober 16, 2027

Laboratory DirectorSheila Perry

Laboratory Phone(318) 435-6116

Laboratory LocationLegacy Nursing & Rehabilation Of Winnsboro804 Polk Street, Winnsboro, LA 71295

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Legacy Nursing And Rehabilitation Of Winnsboro (CMS certification number 195392), from CMS Care Compare.

Legacy Nursing And Rehabilitation Of Winnsboro

Nursing home · Winnsboro, LA

2/5 CMS Overall Rating

OwnershipFor profit - Limited Liability company

CMS Certification Number195392

Certified Beds150 beds76 residents per day on average

Medicare & Medicaid Participant SinceNovember 1, 1996

Resident & Family CouncilResident council

Automatic sprinkler system

CMS Star Ratings

Quality Measures

Based on a select set of clinical quality measures.

2/5

Long-Stay Quality

Quality of care delivered to long-term residents.

2/5

Short-Stay Quality

Quality of care delivered to short-term and rehabilitation residents.

1/5

Staffing

Based on nursing staff hours relative to resident needs.

3/5

Weighted Health Inspection Score

Lower scores are better; the score summarizes deficiencies found on recent inspections.

Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing

nurse aide 2.74 · LPN 1.22 · RN 0.17

4.13 hrs per resident per day

Weekend Nurse Staffing

3.38 hrs per resident per day

Physical Therapist Staffing

0.06 hrs per resident per day

Nursing Staff Turnover

Share of nursing staff who left the facility within the past year.

37.7%

Administrators Who Have Left

In the past year.

Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

CMS has flagged this facility with its abuse flag, indicating a citation for abuse or neglect on a recent inspection report.

Facility-Reported Incidents

Substantiated Complaints

Infection-Control Citations

Fines

4 totaling $301,212.49

Medicare Payment Denials

Total Penalties

Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 7

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

CHARLYN ENTERPRISES, LLC

Skilled Nursing Facility