Individual ProviderJamie RoseSocial WorkerBehavioral Health & Social Service ProvidersPractice Address555 Cincinnati Batavia Pike, Cincinnati, OH 45244-1557(513) 752-1555(513) 910-2109PECOS EnrollmentBased on the most recent information from CMS, provider Jamie Rose does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1235675802Provider TypeIndividualFull NameRose, JamieGenderFemaleSole ProprietorYesEnumeration Date1/6/2017Last Updated1/6/2017Contact InformationPractice LocationPractice Address555 Cincinnati Batavia Pike, Cincinnati, OH 45244-1557Phone(513) 752-1555FaxUnlisted FaxMailing LocationMailing Address7058 Paddison Rd, Cincinnati, OH 45230-2343Phone(513) 910-2109FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode104100000XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense1502333OhioProvider IdentifiersIDDescriptionIssuerID2846595DescriptionMedicaidIssuerUnlistedOhio