Organization Active NPI

Giron Roque Elderly Care Facility, Inc.

  • In Home Supportive Care Agency
  • San Jose, CA
National Provider Identifier
1730084252
Registry record updated Oct 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2026

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)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.