Individual provider Active NPI

Leah Roque, C.N.A, H.H.A.

  • Home Health Aide
  • San Jose, CA
National Provider Identifier
1013238971
Registry record updated Jun 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
00239578 Issued in CA
Practice address
333 W San Carlos St
Suite 1680
San Jose, CA 95110-2726
Phone
(408) 287-5007
Fax
(408) 287-3505
NPI assigned
Jun 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X 00239578 CA Primary
Nurse's Aide 376K00000X 00775413 CA

Addresses

Primary practice location

333 W San Carlos St
Suite 1680
San Jose, CA 95110-2726

Mailing address

333 W San Carlos St
Suite 1680
San Jose, CA 95110-2726
Phone (408) 287-5007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
00239578CAMDHome Health Aide
00775413CAMDNurse's Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Concierge Home Health Care Past Accepting new patients
Concierge Home Health Care LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1276560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276560000000",
    "number": "1013238971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 W SAN CARLOS ST",
            "address_2": "SUITE 1680",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951102726",
            "telephone_number": "408-287-5007",
            "fax_number": "408-287-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 W SAN CARLOS ST",
            "address_2": "SUITE 1680",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951102726",
            "telephone_number": "408-287-5007",
            "fax_number": "408-287-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROQUE",
        "first_name": "LEAH",
        "credential": "C.N.A, H.H.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-15",
        "last_updated": "2010-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "CA",
            "license": "00239578",
            "primary": true
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "CA",
            "license": "00775413",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; 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.