Healthcare Provider Details

I. General information

NPI: 1992657019
Provider Name (Legal Business Name): PRISTINE OASIS HOME HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/11/2026
Last Update Date: 02/11/2026
Certification Date: 02/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1710 E TIFFANY DR STE 220
WEST PALM BEACH FL
33407-3242
US

IV. Provider business mailing address

1710 E TIFFANY DR STE 220
WEST PALM BEACH FL
33407-3242
US

V. Phone/Fax

Practice location:
  • Phone: 561-292-5205
  • Fax:
Mailing address:
  • Phone: 561-292-5205
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JOANNE DESSOURCES
Title or Position: OWNER/VP
Credential:
Phone: 561-292-5205