Bridgeport Bliss Afh LLC

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

Legal business name

BRIDGEPORT BLISS AFH LLC

Practice address

10414 Douglas Dr SW
Lakewood, WA 98499-4817

Phone

(253) 267-1257

Fax

(253) 867-9644

NPI assigned

Aug 18, 2026

Organization subpart

No

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

Authorized official

Name

James Mwangi Kiraki, HCA

Title

Provider

Phone

(253) 590-1922

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1787011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787011200000",
    "number": "1831004308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10414 DOUGLAS DR SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984994817",
            "telephone_number": "253-267-1257",
            "fax_number": "253-867-9644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10414 DOUGLAS DR SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984994817",
            "telephone_number": "253-267-1257",
            "fax_number": "253-867-9644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEPORT BLISS AFH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-18",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A",
        "authorized_official_last_name": "KIRAKI",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MWANGI",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "253-590-1922",
        "authorized_official_credential": "HCA"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirsten Zoie Everett Breland
• Taylor Shae Brenneise, MA
• Kenzie Brewer, LCSW
• Patricia Lynn Brewer, BA
• Brian Kerr DMD PS
• Bridgeport Family Vision Clinic, PLLC
• Alia Briggs
• Prana Briggs
• Anita Amery Brighton, RN
• Warren E Brighton II, RN

• Custodial Care Facility in Lakewood, WA
• Providers in Lakewood, WA by specialty
• Custodial Care Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; 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.