Port Allen Care Center, LLC
NPI 1063512903 · Skilled Nursing Facility · Port Allen, LA
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Port Allen Care Center, LLC is a Skilled Nursing Facility organization in Port Allen, LA (NPI 1063512903).
Provider details
- NPI number
- 1063512903
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Victor Gum, Manager(225) 800-4955
- License
- 385 (LA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Legacy Nursing and Rehabilitation of Port Allen
- Doing business as
- Legacy Nursing and Rehabilitation of Port Allen
Registry dates
- Enumerated
- 2006-09-22
- Last updated
- 2019-04-29
Frequently asked questions
- What is Port Allen Care Center, LLC's NPI number?
- Port Allen Care Center, LLC's National Provider Identifier (NPI) is 1063512903, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Port Allen Care Center, LLC?
- Port Allen Care Center, LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Port Allen Care Center, LLC located?
- Port Allen Care Center, LLC's practice location on file with NPPES is 403 N 15th St, Port Allen, LA 70767-2264.
- What is Port Allen Care Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Port Allen Care Center, LLC is (225) 346-8815.
- Does Port Allen Care Center, LLC accept Medicare?
- Port Allen Care Center, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Port Allen Care Center, LLC?
- The authorized official listed on Port Allen Care Center, LLC's NPPES record is Victor Gum, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Port Allen Care Center, LLC's NPI active?
- Yes — Port Allen Care Center, LLC's NPI (1063512903) is active in the NPPES registry as of the last update on 2019-04-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.