Simmesport Opco, LLC
NPI 1104745785ActiveOrganization· Skilled Nursing Facility· Simmesport, LA
Skilled Nursing Facility in Simmesport, Louisiana, registered in NPPES in July 2026, part of Legacy Lc Holdings LLC. The authorized official on file is Victor D. Gum, Manager.
Overview
| NPI | 1104745785 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Legacy Lc Holdings LLC |
| NPI issued | Jul 15, 2026 |
| Last updated in NPPES | Jul 15, 2026 |
| Certified by provider | Jul 14, 2026 |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Skilled Nursing Facility providers in Simmesport
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