Sequoyah Residential Facility, Inc.
NPI 1124109749 · Nursing Facility/Intermediate Care Facility · Prairie Grove, AR
Sequoyah Residential Facility, Inc. is a Nursing Facility/Intermediate Care Facility organization in Prairie Grove, AR (NPI 1124109749).
Provider details
- NPI number
- 1124109749
- Entity type
- Organization
- Primary specialty
- Nursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Eddie Martin, Owner(479) 846-2169
- License
- 777 (AR)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Other names (DBA / former)
- Doing business as
- Medi Home of Prairie Grove
Registry dates
- Enumerated
- 2006-10-18
- Last updated
- 2020-08-22
Frequently asked questions
- What is Sequoyah Residential Facility, Inc.'s NPI number?
- Sequoyah Residential Facility, Inc.'s National Provider Identifier (NPI) is 1124109749, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sequoyah Residential Facility, Inc.?
- Sequoyah Residential Facility, Inc. is classified in the NPPES registry as Nursing Facility/Intermediate Care Facility (Nursing & Custodial Care Facilities).
- Where is Sequoyah Residential Facility, Inc. located?
- Sequoyah Residential Facility, Inc.'s practice location on file with NPPES is 621 S Mock St, Prairie Grove, AR 72753-3146.
- What is Sequoyah Residential Facility, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Sequoyah Residential Facility, Inc. is (479) 846-2169.
- Who is the authorized official for Sequoyah Residential Facility, Inc.?
- The authorized official listed on Sequoyah Residential Facility, Inc.'s NPPES record is Eddie Martin, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sequoyah Residential Facility, Inc.'s NPI active?
- Yes — Sequoyah Residential Facility, Inc.'s NPI (1124109749) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.