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✓ OIG exclusion check passed — not excluded from federal healthcare programs
LV

LEGACY VILLAGE HEALTHCARE LLC

Skilled Nursing Facility

OIG CLEARNPI VERIFIED
Location
TAYLORSVILLE, UT
Licensed since
2008
Rate
Federal identifiers
NPI registry number1881866499
Agency details
Parent orgWESTERN STATES LODGING
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NamePAUL FAIRHOLM
TitleMANAGING MEMBER
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Source: NPI Registry · Last refreshed June 24, 2026

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