ELITE INFUSION IV HYDRATION LLC NPI 1063047587

NPI Information

  • NPI: 1063047587
  • Provider Name: ELITE INFUSION IV HYDRATION LLC
  • Classification: Clinic/Center - 261QI0500X
  • Specialization: Infusion Therapy
  • Entity Type: Organization
  • Address: 6136 WALNUT ST
    PHILADELPHIA, PA
    ZIP 19139
  • Phone: (267) 516-8048

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NPI Details

ELITE INFUSION IV HYDRATION LLC is an infusion therapy clinic center in Philadelphia, PA. ELITE INFUSION IV HYDRATION LLC NPI is 1063047587. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6136 WALNUT ST
PHILADELPHIA, PA
ZIP 19139-704
Phone: (267) 516-8048

The provider's authorized official is Shavon Parker .
The authorized official title is Ceo and has the following contact phone number (267) 516-8048.

The enumeration date for this NPI number is 3/4/2020 and was last updated on 3/4/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1164W00000XLicensed Practical NurseNo
2261QI0500XClinic/CenterInfusion TherapyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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