MEDICARE: DC GIRON HEALTHCARE SERVICES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	3882272	CA

General Provider Information

NPI Number	:	1639526833
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DC GIRON HEALTHCARE SERVICES, INC.

Provider Business Mailing Address
First Line	:	3170 CROW CANYON PL
Second Line	:	SUITE 130
City	:	SAN RAMON
State	:	CA
Zip	:	94583-1347
Country	:	US
Telephone Number	:	408-306-2748
Fax Number	:	408-262-8806

Provider Business Practice Location Address
First Line	:	3170 CROW CANYON PL
Second Line	:	SUITE 130
City	:	SAN RAMON
State	:	CA
Zip	:	94583-1347
Country	:	US
Telephone Number	:	408-306-2748
Fax Number	:	408-262-8806

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	MRS. FELINA G. ROQUE
Credential	:	RN
Telephone Number	:	408-306-2748

Provider Enumeration Date	:	05/17/2016
Last Update Date	:	07/19/2016

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