MEDI HOME OF PRAIRIE GROVE
NPI 1124109749
Nursing Facility/Intermediate Care Facility in Prairie Grove, AR
NPI Status: Active since October 18, 2006
Contact Information
621 S MOCK ST
PRAIRIE GROVE, AR
ZIP 72753
Phone: (479) 846-2169
- Organization
- Nursing Facility/Intermediate Care Facil...
About MEDI HOME OF PRAIRIE GROVE
This page provides the complete NPI Profile along with additional information for Medi Home Of Prairie Grove, a provider established in Prairie Grove, Arkansas operating as a Nursing Facility/intermediate Care Facility. The healthcare provider is registered in the NPI registry with number 1124109749 assigned on October 2006. The practitioner's primary taxonomy code is 313M00000X with license number 777 (AR). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Medi Home Of Prairie Grove. The authorized official of this NPI record is Eddie Martin (Owner)
- NPI
- 1124109749
- Provider Legal Name
- SEQUOYAH RESIDENTIAL FACILITY, INC.
- Other Organization Name
- MEDI HOME OF PRAIRIE GROVE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 621 S MOCK ST PRAIRIE GROVE, AR 72753
- Location Phone
- (479) 846-2169
- Mailing Address
- PO BOX 916 PRAIRIE GROVE, AR 72753
- Mailing Phone
- (479) 846-2169
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-18-2006
- Last Update Date
- 08-22-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nursing Facility/Intermediate Care Facility
- Taxonomy Code
- 313M00000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- 777
- License State
- AR
- Taxonomy Description
- An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1124109749, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 61 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
PRAIRIE GROVE, AR 72753
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124109749, enumerated as an "organization" on October 18, 2006.
The provider is located at 621 S MOCK ST PRAIRIE GROVE, AR 72753 and the phone number is (479) 846-2169.
Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.
