Active NPI
Giron Roque Elderly Care Facility, Inc.
- In Home Supportive Care Agency
- San Jose, CA
National Provider Identifier
1730084252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- GIRON ROQUE ELDERLY CARE FACILITY, INC.
- Practice address
- 804 Hamann Dr
San Jose, CA 95117-2025 - Phone
- (408) 490-4758
- Fax
- (408) 490-4758
- NPI assigned
- Oct 13, 2026
- Last updated
- Oct 13, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Percival Bautista Roque
- Title
- Licensee
- Phone
- (408) 605-2033
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | NU | Primary |
Addresses
Primary practice location
804 Hamann Dr
San Jose, CA 95117-2025
Mailing address
295 Pala Ave
San Jose, CA 95127-2468
Phone (408) 490-4758
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791849600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791849600000",
"number": "1730084252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "295 PALA AVE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951272468",
"telephone_number": "408-490-4758",
"fax_number": "408-490-4758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "804 HAMANN DR",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951172025",
"telephone_number": "408-490-4758",
"fax_number": "408-490-4758"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GIRON ROQUE ELDERLY CARE FACILITY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-13",
"last_updated": "2026-10-13",
"certification_date": "2026-10-13",
"status": "A",
"authorized_official_last_name": "ROQUE",
"authorized_official_first_name": "PERCIVAL",
"authorized_official_middle_name": "BAUTISTA",
"authorized_official_title_or_position": "LICENSEE",
"authorized_official_telephone_number": "408-605-2033"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NU",
"license": null,
"primary": true
}
],
"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 Oct 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.