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LEGACY VILLAGE FOR REHABILITATION & MEMORY CARE
NPI 1881866499
Skilled Nursing Facility in Taylorsville, UT

Active since March 24, 2008CLIA 46D1102642 · Waiver
5/5
Overall Rating
5472 S 3200 W, TAYLORSVILLE, UT 84129(801) 269-0700(801) 269-1512 Get Directions Write a Review

NPPES record last updated: April 22, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Legacy Village For Rehabilitation & Memory Care NPPES

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

LEGACY VILLAGE FOR REHABILITATION & MEMORY CARE (NPI 1881866499) is a healthcare organization registered as a skilled nursing facility in Taylorsville, Utah and active in the NPI registry since March 2008. The organization holds a CLIA Waiver certificate valid through July 21, 2027 and lists Paul C Fairholm, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1881866499
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameLEGACY VILLAGE HEALTHCARE LLC
Location Address5472 S 3200 WTaylorsville, UT 84129-7804
Mailing Address1018 Atherton DrTaylorsville, UT 84123-3470 · (801) 269-0700 · Fax (801) 269-1512
Phone(801) 269-0700
Fax(801) 269-1512
Organization SubpartYesParent: Western States Lodging
Authorized OfficialPaul C FairholmManaging Member · (801) 269-0700
Enumeration DateMarch 24, 2008
Last NPPES UpdateApril 22, 2015
✔ NPI 1881866499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License✔ Licensed in UT · TO BE DETERMINED
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Also ListedAlzheimer Center (Dementia Center)Taxonomy 311500000X · License TO BE DETERMINED (UT)
5472 S 3200 W, Taylorsville, UT 84129
Open in Google Maps ↗

Other Names 1

Doing Business AsLegacy Village For Rehabilitation & Memory Care

Other Identifiers 5

Medicaid113661303001UT
Medicaid870520717001UT
Medicaid870638970001UT
Medicare OSCAR/certification465171UT
Medicaid800008673001UT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health, University of Utah Health Plans.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 46D1102642

Legacy Village Healthcare · Taylorsville, UT
Active · expires Jul 21, 2027
CLIA Number46D1102642
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJuly 22, 2025
Certificate Expiration DateJuly 21, 2027
Laboratory DirectorLance C. Dearden
Laboratory Phone(801) 613-4600
Laboratory LocationLegacy Village Healthcare3251 West 5400 South Attn Lance Dearden, Taylorsville, UT 84129
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Legacy Village Rehabilitation (CMS certification number 465171), from CMS Care Compare.

Legacy Village Rehabilitation

Nursing home · Taylorsville, UT
5/5 CMS Overall Rating
OwnershipFor profit - Partnership
CMS Certification Number465171
Certified Beds40 beds43 residents per day on average
Medicare & Medicaid Participant SinceDecember 21, 2009
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
5/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
5/5
Staffing
Based on nursing staff hours relative to resident needs.
4/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
10.67
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.27 · LPN 0.45 · RN 1.53
4.25 hrs per resident per day
Weekend Nurse Staffing
3.45 hrs per resident per day
Physical Therapist Staffing
0.32 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
44.3%
Registered Nurse Turnover
38.9%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
0
Fines
1 totaling $1,325.47
Medicare Payment Denials
0
Total Penalties
1
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES

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

EMILY ANDERSON
Recreation Therapist
5472 S 3200 W
TAYLORSVILLE, UT 84129
Salt Lake County (801) 613-4600

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 Village Healthcare LLC's NPI number?

The NPI number for Legacy Village Healthcare LLC is 1881866499. It was assigned to this organization in the NPPES registry on March 24, 2008. The provider is doing business as Legacy Village For Rehabilitation & Memory Care.

Where is Legacy Village Healthcare LLC located?

Legacy Village Healthcare LLC is located at 5472 S 3200 W, Taylorsville, UT 84129. The listed phone number is (801) 269-0700.

What is Legacy Village Healthcare LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Legacy Village Healthcare LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D1102642) is associated with this NPI, valid through July 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Legacy Village Healthcare LLC a Medicare-certified nursing home?

Yes. Legacy Village Rehabilitation is a Medicare-certified nursing home with 40 certified beds.

What quality rating does Legacy Village Healthcare LLC have?

CMS rates Legacy Village Rehabilitation 5 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Legacy Village Healthcare LLC accept?

Health plans from Select Health and University of Utah Health Plans list Legacy Village Healthcare LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Legacy Village Healthcare LLC was last updated on April 22, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.