Organization Active NPI

St Christina Opco LLC

Doing business as Legacy at St Christina

  • Skilled Nursing Facility
  • Pineville, LA
National Provider Identifier
1003691932
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ST CHRISTINA OPCO LLC
Doing business as
Legacy at St Christina
Practice address
122 Hillsdale Dr
Pineville, LA 71360-6856
Phone
(318) 448-0141
Fax
(318) 314-2008
NPI assigned
Aug 29, 2023
Last updated
Aug 29, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
LP2 HOLDINGS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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 Primary

Addresses

Primary practice location

122 Hillsdale Dr
Pineville, LA 71360-6856

Mailing address

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

Other names 1

  • LEGACY AT ST CHRISTINA Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240326003338 LA Part A Provider - Skilled Nursing Facility 0941647937 Practice locations: Pineville, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003691932. Details of each certification follow.

Skilled nursing facility certification: CCN 195613

Legal name
ST CHRISTINA OPCO LLC
Doing business as
LEGACY AT ST CHRISTINA
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 1, 2004
Last certification
Jan 28, 2025
Beds
140
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Legacy
Organization structure
LLCProprietary
Enrollment address
122 Hillsdale Dr
Pineville, LA 71360-6856
Nursing home name
LEGACY NURSING AT ST. CHRISTINA
Affiliated entity
LEGACY NURSING & REHABILITATION

Care Compare: Nursing home

Medicare Care Compare
Listed as
Legacy Nursing at St. ChristinaCCN 195613 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Dec 1, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
140128.3 residents per day on average
Chain
Legacy Nursing & Rehabilitation9 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
6Fines totaling $646,937

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D0464952Legacy at St Christina122 Hillsdale Drive, Pineville, LA 71360Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 19

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 Aug 1, 2023
Direct Ownership Interest Aug 1, 2023 100%
LP Therapy, LLC Organization, Baton Rouge, LA LLC, For-profit Adp of the SNF Jan 1, 2026
Organization, Alexandria, LA LLC, Medical staffing company, For-profit Adp of the SNF Nov 12, 2025
Victor D Gum Individual Operational/Managerial Control Aug 1, 2023
Adp of the SNF Aug 1, 2023
Indirect Ownership Interest Aug 1, 2023 46%
Robert Fuller Individual Operational/Managerial Control Jul 25, 2025
Adp of the SNF Jul 25, 2025
Organization, Irving, TX LLC, Medical staffing company, For-profit Adp of the SNF Jan 21, 2026
Organization, Lafayette, LA LLC, Medical staffing company, For-profit Adp of the SNF Oct 30, 2025
Mylesh, LLC Organization, West Monroe, LA LLC, For-profit Adp of the SNF Aug 1, 2023
Indirect Ownership Interest Aug 1, 2023 8%
John Gum Individual Adp of the SNF Aug 1, 2023
Indirect Ownership Interest Aug 1, 2023 23%
Myles Holyfield Individual Adp of the SNF Aug 1, 2023
Indirect Ownership Interest Aug 1, 2023 8%
Jdgum, LLC Organization, Austin, TX LLC, For-profit Adp of the SNF Aug 1, 2023
Indirect Ownership Interest Aug 1, 2023 23%
Brian M Smith Individual Operational/Managerial Control Aug 5, 2025
Adp of the SNF Aug 5, 2025
VDG LLC Organization, Baton Rouge, LA LLC, For-profit Adp of the SNF Aug 1, 2023
Indirect Ownership Interest Aug 1, 2023 46%
Dgprejean, LLC Organization, Plaquemine, LA LLC, For-profit Adp of the SNF Aug 1, 2023
Indirect Ownership Interest Aug 1, 2023 23%
Organization, Lafayette, LA Corporation, Medical staffing company, For-profit Adp of the SNF Nov 12, 2025
Legacy Management Group, LLC Organization, Baton Rouge, LA LLC, Management services company, Chain home office Operational/Managerial Control Aug 1, 2023
Adp of the SNF Nov 12, 2025
Organization, Baton Rouge, LA LLC, Consulting firm, For-profit Adp of the SNF Oct 22, 2025
Danielle G Prejean Individual Adp of the SNF Aug 1, 2023
Indirect Ownership Interest Aug 1, 2023 23%
Pineville Property Group, LLC Organization, Baton Rouge, LA LLC, For-profit Adp of the SNF Nov 12, 2025

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 6

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

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1693267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693267200000",
    "number": "1003691932",
    "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": "122 HILLSDALE DR",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713606856",
            "telephone_number": "318-448-0141",
            "fax_number": "318-314-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST CHRISTINA OPCO LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LP2 HOLDINGS LLC",
        "enumeration_date": "2023-08-29",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-04",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LEGACY AT ST CHRISTINA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pineville, LA

Sources for this page

Verify at the official NPI Registry.