Healthcare Provider Details

I. General information

NPI: 1306174172
Provider Name (Legal Business Name): TENDER MERCIES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2009
Last Update Date: 12/05/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 SUMTER ST
PORTSMOUTH VA
23702-1940
US

IV. Provider business mailing address

106 SUMTER ST
PORTSMOUTH VA
23702-1940
US

V. Phone/Fax

Practice location:
  • Phone: 757-951-5138
  • Fax: 757-951-5138
Mailing address:
  • Phone: 757-951-5138
  • Fax: 757-951-5138

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 Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. MOSES OLADAPO OLANREWAJU
Title or Position: PRESIDENT/CEO
Credential: PHD.
Phone: 757-951-5138