Tallulah Opco LLC
NPI 1265086979ActiveOrganization· Skilled Nursing Facility· Tallulah, LA
Skilled Nursing Facility in Tallulah, Louisiana, registered in NPPES in July 2019, part of Legacy Nursing & Rehabilitation of Tallulah. The authorized official on file is Devin Gum, Managing Member. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1265086979 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Legacy Nursing & Rehabilitation of Tallulah |
| NPI issued | Jul 31, 2019 |
| Last updated in NPPES | Jul 31, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (LA) |
|---|
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