Bremerton Housing Authority

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

1983 Issued in WA

Legal business name

BREMERTON HOUSING AUTHORITY

Practice address

191 Russell Rd
Bremerton, WA 98312-3415

Phone

(360) 377-8300

Fax

(360) 377-6090

NPI assigned

May 22, 2013

Organization subpart

No

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

Authorized official

Name

Kurt Wiest

Title

Executive Director

Phone

(360) 616-7241

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bay Vista Commons Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1369180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369180800000",
    "number": "1225475858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2189",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983100294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 RUSSELL RD",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983123415",
            "telephone_number": "360-377-8300",
            "fax_number": "360-377-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREMERTON HOUSING AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-22",
        "last_updated": "2013-05-22",
        "status": "A",
        "authorized_official_last_name": "WIEST",
        "authorized_official_first_name": "KURT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "360-616-7241"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WA",
            "license": "1983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARDING HOME LICENSE",
            "identifier": "1983",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bay Vista Commons",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Branch Medical Clinic Puget Sound
• Jamesha Branch
• Aiden Brandt
• David M Bray III, MD
• Bremerton Health, LLC
• Bremerton MC Operations, LLC
• Bremerton Physical Therapy
• Bremerton School District
• Bremerton Vascular Imaging LLC
• Bremerton Wellness PS

• Assisted Living Facility in Bremerton, WA
• Providers in Bremerton, WA by specialty
• Assisted Living Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.