ELITE INFUSION CARE LLC NPI 1760148456

NPI Information

  • NPI: 1760148456
  • Provider Name: ELITE INFUSION CARE LLC
  • Classification: Home Infusion - 251F00000X
  • Entity Type: Organization
  • :
  • CLIA Number: 05D2279018
  • Address: 1440 N HARBOR BLVD STE 916
    FULLERTON, CA
    ZIP 92835
  • Phone: (424) 324-9322

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NPI Details

ELITE INFUSION CARE LLC is a home infusion in Fullerton, CA. ELITE INFUSION CARE LLC NPI is 1760148456. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

1440 N HARBOR BLVD STE 916
FULLERTON, CA
ZIP 92835-127
Phone: (424) 324-9322
Fax: (424) 349-0011

The provider's authorized official is Dasheavia Q Jolly .
The authorized official title is Owner and has the following contact phone number (478) 978-3347.

The CLIA number assigned to this NPI record is 05D2279018 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/17/2021 and was last updated on 6/17/2025.

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
1251E00000XHome HealthNo
2251J00000XNursing CareNo
3251F00000XHome InfusionYes

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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