Individual ProviderRosa M SimentalSocial WorkerBehavioral Health & Social Service ProvidersPractice Address232 E Gish Rd, San Jose, CA 95112-4706(408) 876-4284PECOS EnrollmentBased on the most recent information from CMS, provider Rosa M Simental 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 ID1841860285Provider TypeIndividualFull NameSimental, Rosa MGenderFemaleSole ProprietorNoEnumeration Date6/28/2021Last Updated3/7/2023Contact InformationPractice LocationPractice Address232 E Gish Rd, San Jose, CA 95112-4706Phone(408) 876-4284FaxUnlisted FaxMailing LocationMailing Address232 E Gish Rd, San Jose, CA 95112-4706Phone(408) 876-4284FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode104100000XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense113733CaliforniaCode106S00000XDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer