OrganizationActive
Legacy Village Healthcare LLC
NPI 1881866499 · Skilled Nursing Facility · Taylorsville, UT
Provider details
- NPI number
- 1881866499
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Parent organization
- Western States Lodging
- Organization subpart
- Yes
- Authorized official
- Paul Fairholm, Managing Member(801) 269-0700
- License
- TO BE DETERMINED (UT)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5472 S 3200 W
Taylorsville, UT 84129-7804
Phone: (801) 269-0700
Fax: (801) 269-1512
Street-level locationGet directions
Mailing address
1018 Atherton Dr
Taylorsville, UT 84123-3470
Other names (DBA / former)
- Doing business as
- Legacy Village for Rehabilitation & Memory Care
Registry dates
- Enumerated
- 2008-03-24
- Last updated
- 2015-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.