Organization Active NPI

Jorge Alexander Florez

  • Adult Care Home Facility
  • Shoreline, WA
National Provider Identifier
1245029693
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
JORGE ALEXANDER FLOREZ
Practice address
17734 2ND PL NE
Shoreline, WA 98155-3504
Phone
(425) 750-5803
NPI assigned
May 2, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Authorized official

Name
Jorge A FlorezNPI 1669276341
Title
Owner/Provider
Phone
(425) 750-5803

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

17734 2ND PL NE
Shoreline, WA 98155-3504

Mailing address

16000 75TH PL W
Edmonds, WA 98026-4524
Phone (425) 750-5803

Other practice location 1

16820 1st Ave SE
Mill Creek, WA 98012-5905
Phone (425) 750-5803

Other practice location 2

504 N 179th Pl
Shoreline, WA 98133-4713
Phone (425) 750-5803

Other names 1

  • Millcreek AFH Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2287663Millcreek Afh17734 2ND PL NE, Shoreline, WA 98155Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1746144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746144000000",
    "number": "1245029693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16000 75TH PL W",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980264524",
            "telephone_number": "425-750-5803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17734 2ND PL NE",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981553504",
            "telephone_number": "425-750-5803"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16820 1st Ave SE",
            "address_purpose": "LOCATION",
            "city": "Mill Creek",
            "state": "WA",
            "postal_code": "980125905",
            "country_code": "US",
            "telephone_number": "425-750-5803",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "504 N 179th Pl",
            "address_purpose": "LOCATION",
            "city": "Shoreline",
            "state": "WA",
            "postal_code": "981334713",
            "country_code": "US",
            "telephone_number": "425-750-5803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JORGE ALEXANDER FLOREZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-02",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A",
        "authorized_official_last_name": "FLOREZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "425-750-5803"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Millcreek AFH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shoreline, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; 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.