Healthcare Provider Details

I. General information

NPI: 1750269338
Provider Name (Legal Business Name): JOANNE D ANDRE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2025
Last Update Date: 03/13/2026
Certification Date: 03/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1136 23RD ST
WEST PALM BEACH FL
33407-5747
US

IV. Provider business mailing address

1136 23RD ST
WEST PALM BEACH FL
33407-5747
US

V. Phone/Fax

Practice location:
  • Phone: 561-772-1209
  • Fax:
Mailing address:
  • Phone: 561-772-1209
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: JOANNE DUMERAND
Title or Position: OWNER/MANAGING MEMBER
Credential:
Phone: 561-772-1209