Healthcare Provider Details
I. General information
NPI: 1538073200
Provider Name (Legal Business Name): LASHOUNDA'S COMPANION CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1016 21ST ST
VERO BEACH FL
32960
US
IV. Provider business mailing address
4028 46TH STREET 1016 21ST B
VERO BEACH FL
32967
US
V. Phone/Fax
- Phone: 772-646-1037
- Fax:
- Phone: 772-646-1037
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 174200000X |
| Taxonomy | Meals Provider |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
LASHOUNDA
JUDON
Title or Position: OWNER
Credential: LASHOUNDA'S COMPANIO
Phone: 772-646-1037