Healthcare Provider Details

I. General information

NPI: 1932981917
Provider Name (Legal Business Name): LASHOUNDA'S COMPANION CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2023
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
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: 772-907-5835
Mailing address:
  • Phone: 772-584-5927
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: LASHOUNDA JUDON
Title or Position: PRESIDENT
Credential:
Phone: 772-584-5927