Active NPI
St Christina Opco LLC
Doing business as Legacy at St Christina
- Skilled Nursing Facility
- Pineville, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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, 2023
- Organization subpart
- Yes
- Parent organization
- LP2 HOLDINGS LLC
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 | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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. Christina
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Dec 1, 2004
- Medicare certification status
- Active
- Certified beds
- 140
- Chain
- Legacy Nursing & Rehabilitation
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 6
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 19D0464952 | Legacy at St Christina | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| LP2 Holdings LLC | Adp of the SNF | Aug 1, 2023 | |
| Direct Ownership Interest | Aug 1, 2023 | 100% | |
| LP Therapy, LLC | Adp of the SNF | Jan 1, 2026 | |
| Adp of the SNF | Nov 12, 2025 | ||
| Victor D Gum | Operational/Managerial Control | Aug 1, 2023 | |
| Adp of the SNF | Aug 1, 2023 | ||
| Indirect Ownership Interest | Aug 1, 2023 | 46% | |
| Robert Fuller | Operational/Managerial Control | Jul 25, 2025 | |
| Adp of the SNF | Jul 25, 2025 | ||
| Adp of the SNF | Jan 21, 2026 | ||
| Adp of the SNF | Oct 30, 2025 | ||
| Mylesh, LLC | Adp of the SNF | Aug 1, 2023 | |
| Indirect Ownership Interest | Aug 1, 2023 | 8% | |
| John Gum | Adp of the SNF | Aug 1, 2023 | |
| Indirect Ownership Interest | Aug 1, 2023 | 23% | |
| Myles Holyfield | Adp of the SNF | Aug 1, 2023 | |
| Indirect Ownership Interest | Aug 1, 2023 | 8% | |
| Jdgum, LLC | Adp of the SNF | Aug 1, 2023 | |
| Indirect Ownership Interest | Aug 1, 2023 | 23% | |
| Brian M Smith | Operational/Managerial Control | Aug 5, 2025 | |
| Adp of the SNF | Aug 5, 2025 | ||
| VDG LLC | Adp of the SNF | Aug 1, 2023 | |
| Indirect Ownership Interest | Aug 1, 2023 | 46% | |
| Dgprejean, LLC | Adp of the SNF | Aug 1, 2023 | |
| Indirect Ownership Interest | Aug 1, 2023 | 23% | |
| Adp of the SNF | Nov 12, 2025 | ||
| Legacy Management Group, LLC | Operational/Managerial Control | Aug 1, 2023 | |
| Adp of the SNF | Nov 12, 2025 | ||
| Adp of the SNF | Oct 22, 2025 | ||
| Danielle G Prejean | Adp of the SNF | Aug 1, 2023 | |
| Indirect Ownership Interest | Aug 1, 2023 | 23% | |
| Pineville Property Group, LLC | 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.
-
- Family Medicine Physician
- Sarepta, LA
- NPI 1154395697
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 6
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Legacy Nursing and Rehabilitation of Franklin
- Skilled Nursing Facility
- Franklin, LA
- NPI 1770129967
Legacy Management Group, LLC
-
dba Legacy Nursing and Rehabilitation of Morgan City
- Skilled Nursing Facility
- Morgan City, LA
- NPI 1861038051
Legacy Management Group, LLC
-
dba Legacy Nursing and Rehabilitation of Plaquemine
- Skilled Nursing Facility
- Plaquemine, LA
- NPI 1598723769
Legacy Management Group, LLC
-
dba Legacy Nursing and Rehabilitation of Port Allen
- Skilled Nursing Facility
- Port Allen, LA
- NPI 1063512903
Legacy Management Group, LLC
-
dba Legacy Nursing & Rehabilitation of Tallulah
- Skilled Nursing Facility
- Tallulah, LA
- NPI 1265086979
Legacy Management Group, LLC
-
dba Legacy Nursing and Rehabilitation of Winnsboro
- Skilled Nursing Facility
- Winnsboro, LA
- NPI 1275180655
Legacy Management Group, LLC
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.
-
- Internal Medicine Physician
- Alexandria, LA
- NPI 1083912828
-
- Family Medicine Physician
- Mansura, LA
- NPI 1528195765
-
- 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": "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
- Majesta Nicole Smith, PHARM. D.
- Mary Boyd Smith, LCSW
- Patricia Ann Smith, LCSW
- Speech Buds, LLC
- Tracey Brandin Spence, LPN 1
- Anita Stanley, MSN, RN
- Barbara Kristina Stanley, LCSW
- Kyiel Stanley
- Leslie J. Stanley, LCSW
- Stephanie K. Harding, DDS, a Professional Dental Corporation (Affordable Dentures & Implants - Pineville)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.