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Jorge Alexander Florez

Custodial Care Facility, Adult Care Home in Shoreline, WA. Organization (NPI-2).

NPI number1245029693
StatusActive
Last updated in NPPESMay 2, 2025

Details

NPI
1245029693
Entity type
Organization (NPI-2)
Legal business name
Jorge Alexander Florez
Organization subpart
No
Enumeration date
May 2, 2025
Certification date
May 2, 2025
Last updated
May 2, 2025

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
311ZA0620X Custodial Care Facility, Adult Care Home––Yes

Other names

  • Millcreek Afh (Doing Business As)

Practice location

17734 2nd Pl Ne
Shoreline, WA 98155-3504

Phone 425-750-5803

Mailing address

16000 75th Pl W
Edmonds, WA 98026-4524

Phone 425-750-5803

Other practice locations

504 N 179th Pl
Shoreline, WA 98133-4713

Phone 425-750-5803

16820 1st Ave Se
Mill Creek, WA 98012-5905

Phone 425-750-5803

Authorized official

Jorge A Florez
Owner/Provider
4257505803

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Adult Care Home Facility providers in Shoreline, WA

All 10 Adult Care Home Facility providers in Shoreline · All 1,513 providers in Shoreline

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