Individual ProviderJaida RoseStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address507 N 17th St, Milwaukee, WI 53233-2104(414) 288-5688PECOS EnrollmentBased on the most recent information from CMS, provider Jaida Rose is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1568345817Provider TypeIndividualFull NameRose, JaidaGenderFemaleSole ProprietorYesEnumeration Date7/25/2025Last Updated7/25/2025Contact InformationPractice LocationPractice Address507 N 17th St, Milwaukee, WI 53233-2104Phone(414) 288-5688FaxUnlisted FaxMailing LocationMailing Address507 N 17th St, Milwaukee, WI 53233-2104PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer