Individual ProviderRebecca Ellen RoosaCase Manager/Care CoordinatorOther Service ProvidersPractice Address2001 E Stonebrook Pl, Kingsport, TN 37660-4000(423) 224-1000(423) 467-3600PECOS EnrollmentBased on the most recent information from CMS, provider Rebecca Ellen Roosa 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 yesterday at 12:57 PM.Profile DetailsProvider ID1598267569Provider TypeIndividualFull NameRoosa, Rebecca EllenGenderFemaleSole ProprietorYesEnumeration Date3/6/2018Last Updated3/6/2018Contact InformationPractice LocationPractice Address2001 E Stonebrook Pl, Kingsport, TN 37660-4000Phone(423) 224-1000Fax(423) 467-3644Mailing LocationMailing Address1167 Spratlin Park Dr, Gray, TN 37615-6205Phone(423) 467-3600Fax(423) 467-3644Provider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer