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Legacy Village Healthcare LLC

Skilled Nursing Facility in Taylorsville, UT · enumerated 2008 · authorized official Paul Fairholm, Managing Member.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1881866499

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Registry record

Entity type Organization (Type 2)
Legal business name Legacy Village Healthcare LLC
Other name <Unavail>
Parent organization Western States Lodging
Practice address 5472 S 3200 W, Taylorsville, UT, 84129
Phone (801) 269-0700
Fax (801) 269-1512
Enumeration date Mar 24, 2008
Last updated in NPPES Apr 22, 2015

Taxonomy & classification

311500000X Alzheimer Center (Dementia Center) Nursing & Custodial Care Facilities · License TO BE DETERMINED (UT) Secondary
314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License TO BE DETERMINED (UT) Primary

Authorized official

Name Paul Fairholm
Title Managing Member
Phone (801) 269-0700

Other identifiers

Identifier Type State Issuer
800008673001 Medicaid UT -
113661303001 Medicaid UT -
870520717001 Medicaid UT -
870638970001 Medicaid UT -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Legacy Village Healthcare LLC?
Legacy Village Healthcare LLC is registered in NPPES as a Skilled Nursing Facility (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-04-22.