Simmesport Opco, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SIMMESPORT OPCO, LLC

Practice address

16232 Highway 1
Simmesport, LA 71369-2156

Phone

(318) 941-2294

NPI assigned

Jul 15, 2026

Organization subpart

Yes

Parent organization

LEGACY LC HOLDINGS LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Victor D. Gum

Title

Manager

Phone

(225) 800-4954

Specialties & licenses 1

Addresses

Other names 1

• LEGACY NURSING AND REHABILITATION OF SIMMESPORT Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1784073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784073600000",
    "number": "1104745785",
    "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": "16232 HIGHWAY 1",
            "city": "SIMMESPORT",
            "state": "LA",
            "postal_code": "713692156",
            "telephone_number": "318-941-2294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMMESPORT OPCO, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LEGACY LC HOLDINGS LLC",
        "enumeration_date": "2026-07-15",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-14",
        "status": "A",
        "authorized_official_last_name": "GUM",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "225-800-4954",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LEGACY NURSING AND REHABILITATION OF SIMMESPORT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Simmesport, LA
• Providers in Simmesport, LA by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.