Jorge A Florez

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

435600 Issued in WA

Practice address

16820 1St Ave SE
Mill Creek, WA 98012-5905

Phone

(425) 750-5803

NPI assigned

Apr 2, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jorge Alexander Florez

  • Adult Care Home Facility
  • Shoreline, WA
  • NPI 1245029693
  NPD Authorized official
• Millcreek Afh, Inc

  • Adult Care Home Facility
  • Seattle, WA
  • NPI 1114721727
  NPD Authorized official

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

{
    "created_epoch": "1743552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1669276341",
    "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": "16820 1ST AVE SE",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980125905",
            "telephone_number": "425-750-5803"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17734 2nd Pl NE",
            "address_purpose": "LOCATION",
            "city": "Shoreline",
            "state": "WA",
            "postal_code": "981553504",
            "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": {
        "last_name": "FLOREZ",
        "first_name": "JORGE",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-04-02",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "WA",
            "license": "649300",
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "WA",
            "license": "520702",
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "WA",
            "license": "435600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlotte Fentress
• Ian Ferguson, MD
• Gloria Angelica Fisher-Herrera, NP-C
• Roger Allen Flake, DDS
• Jennifer Hayley Flood, L.M.P.
• Flourish Family Medicine, PLLC
• Flourish Psychiatry PLLC
• Julie A. Foos, L.M.P.
• Joanna Rose Forbes, DMD
• Wallace Forslof

• Adult Care Home Facility in Mill Creek, WA
• Providers in Mill Creek, WA by specialty
• Adult Care Home Facility in Washington

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