Organization Active NPI

Tender Mercies Adult Family Communities

  • Adult Care Home Facility
  • Kennewick, WA
National Provider Identifier
1447032941
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
TENDER MERCIES ADULT FAMILY COMMUNITIES
Practice address
2615 W Entiat Ave
Kennewick, WA 99336-3078
Phone
(509) 987-8937
NPI assigned
Oct 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dwight Brendan Gibb, HCA
Title
Owner/Provider
Phone
(509) 987-8937

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

2615 W Entiat Ave
Kennewick, WA 99336-3078

Mailing address

5302 W 12TH Ave
Kennewick, WA 99338-1717
Phone (509) 987-8937

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1447032941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5302 W 12TH AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993381717",
            "telephone_number": "509-987-8937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 W ENTIAT AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993363078",
            "telephone_number": "509-987-8937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENDER MERCIES ADULT FAMILY COMMUNITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-18",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A",
        "authorized_official_last_name": "GIBB",
        "authorized_official_first_name": "DWIGHT",
        "authorized_official_middle_name": "BRENDAN",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "509-987-8937",
        "authorized_official_credential": "HCA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.