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MILLCREEK AFH, INC
NPI 1114721727
Custodial Care Facility - Adult Care Home in Seattle, WA

Active since April 02, 2025CLIA Certified · 3 labs
12024 GREENWOOD AVE N, SEATTLE, WA 98133(425) 750-5803 Get Directions Write a Review

NPPES record last updated: April 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Millcreek Afh, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MILLCREEK AFH, INC (NPI 1114721727) is a healthcare organization registered as an adult care home in Seattle, Washington and active in the NPI registry since April 2025. The organization holds 3 active CLIA laboratory certificates, maintains a secondary practice location in Lynnwood, and lists Jorge A Florez, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1114721727
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameMILLCREEK AFH, INC
Location Address12024 GREENWOOD AVE NSeattle, WA 98133-8130
Mailing Address16000 75th Pl WEdmonds, WA 98026-4524 · (425) 750-5803
Phone(425) 750-5803
Organization SubpartNo
Authorized OfficialJorge A FlorezOwner/provider · (425) 750-5803
Enumeration DateApril 2, 2025
NPPES CertifiedApril 2, 2025
✔ NPI 1114721727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
12024 GREENWOOD AVE N, Seattle, WA 98133
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Secondary Practice Location 1

Location 116703 36th Ave WLynnwood, WA 98037-7004 · Phone (425) 750-5803

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D2277227

Millcreek Afh Inc · Lynnwood, WA
Active · expires Apr 4, 2028
CLIA Number50D2277227
Laboratory TypeAfh
Certificate Effective DateFebruary 23, 2023
Certificate Expiration DateApril 4, 2028
Laboratory DirectorHazel Florez
Laboratory Phone(425) 678-8229
Laboratory LocationMillcreek Afh Inc16703 36th Ave W, Lynnwood, WA 98037
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 50D2303184

Millcreek Afh, LLC · Seattle, WA
Active · expires Apr 4, 2028
CLIA Number50D2303184
Laboratory TypeAfh
Certificate Effective DateApril 22, 2024
Certificate Expiration DateApril 4, 2028
Laboratory DirectorMarie Hazel Sarausad Florez
Laboratory Phone(206) 362-2527
Laboratory LocationMillcreek Afh, LLC12024 Greenwood Ave N, Seattle, WA 98133
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 50D2304385

Millcreek Afh · Shoreline, WA
Active · expires Apr 4, 2028
CLIA Number50D2304385
Laboratory TypeAfh
Certificate Effective DateMay 13, 2024
Certificate Expiration DateApril 4, 2028
Laboratory DirectorJorge Florez
Laboratory Phone(206) 542-5129
Laboratory LocationMillcreek Afh504 N 179th Pl, Shoreline, WA 98133
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Millcreek Afh, Inc's NPI number?

The NPI number for Millcreek Afh, Inc is 1114721727. It was assigned to this organization in the NPPES registry on April 2, 2025.

Where is Millcreek Afh, Inc located?

Millcreek Afh, Inc is located at 12024 Greenwood Ave N, Seattle, WA 98133. The listed phone number is (425) 750-5803.

What is Millcreek Afh, Inc's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Does Millcreek Afh, Inc hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Millcreek Afh, Inc was last updated on April 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.