Healthcare Provider Details

I. General information

NPI: 1396033999
Provider Name (Legal Business Name): TENDER MERCIES INTERNATIONAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2011
Last Update Date: 07/16/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3747 WAKE FOREST RD
DURHAM NC
27703-3634
US

IV. Provider business mailing address

PO BOX 21254
DURHAM NC
27703-1254
US

V. Phone/Fax

Practice location:
  • Phone: 919-699-0125
  • Fax: 919-957-3296
Mailing address:
  • Phone: 919-699-0125
  • Fax: 919-957-3296

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3104A0625X
TaxonomyAssisted Living Facility (Mental Illness)
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3104A0630X
TaxonomyAssisted Living Facility (Behavioral Disturbances)
License Number
License Number State

VIII. Authorized Official

Name: PROF. MOSES OLADAPO OLANREWAJU
Title or Position: PRESIDENT/CEO
Credential: PH.D.
Phone: 919-598-4617