LEGACY OUTDOOR ADVENTURES LLC
NPI 1245509918
Substance Abuse Rehabilitation Facility in Loa, UT

Q: What is Legacy Outdoor Adventures LLC's NPI number?

The NPI number for Legacy Outdoor Adventures LLC is 1245509918. It was assigned to this organization in the NPPES registry on December 23, 2011.

Q: What is Legacy Outdoor Adventures LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Active since December 23, 2011

56 SOUTH MAIN STREET, LOA, UT 84747(435) 836-2272(435) 836-2274 Get Directions Write a Review

NPPES record last updated: December 23, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Legacy Outdoor Adventures Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEGACY OUTDOOR ADVENTURES LLC (NPI 1245509918) is a healthcare organization registered as a substance abuse rehabilitation facility in Loa, Utah and active in the NPI registry since December 2011. The organization lists Gilbert Hallows, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1245509918

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NameLEGACY OUTDOOR ADVENTURES LLC

Location Address56 SOUTH MAIN STREETLoa, UT 84747

Mailing AddressPo Box 400Loa, UT 84747-0400 · (435) 836-2272 · Fax (435) 836-2274

Phone(435) 836-2272

Fax(435) 836-2274

Organization SubpartNo

Authorized OfficialGilbert HallowsExecutive Director · (435) 836-2272

Enumeration DateDecember 23, 2011

✔ NPI 1245509918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities

Taxonomy Code324500000X

Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

56 SOUTH MAIN STREET, Loa, UT 84747

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL STEVEN PETREE ACMHC

Counselor (Mental Health)

56 SOUTH MAIN STREET
LOA, UT 84747

Wayne County (435) 836-2273

MR. MICHAEL ANDREW MILLS AMFT

Marriage & Family Therapist

56 SOUTH MAIN STREET
LOA, UT 84747

Wayne County (435) 836-2272

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Legacy Outdoor Adventures LLC's NPI number?

The NPI number for Legacy Outdoor Adventures LLC is 1245509918. It was assigned to this organization in the NPPES registry on December 23, 2011.

Where is Legacy Outdoor Adventures LLC located?

Legacy Outdoor Adventures LLC is located at 56 South Main Street, Loa, UT 84747. The listed phone number is (435) 836-2272.

What is Legacy Outdoor Adventures LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Legacy Outdoor Adventures LLC was last updated on December 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.