Healthcare Provider Details

I. General information

NPI: 1215238449
Provider Name (Legal Business Name): LASHOUNDA ANN JUDON HOME HEALTH AID
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LASHOUNDA ANN JUDON NON MEDICAL TRANSPOR

II. Dates (important events)

Enumeration Date: 11/04/2010
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4028 46TH ST
VERO BEACH FL
32967-1149
US

IV. Provider business mailing address

4028 46TH ST
VERO BEACH FL
32967-1149
US

V. Phone/Fax

Practice location:
  • Phone: 772-584-5927
  • Fax:
Mailing address:
  • Phone: 772-584-5927
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: