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ELITE INFUSION IV HYDRATION LLC
NPI 1063047587
Clinic/Center - Infusion Therapy in Philadelphia, PA

Active since March 04, 2020
6136 WALNUT ST, PHILADELPHIA, PA 19139(267) 516-8048 Get Directions Write a Review

NPPES record last updated: March 4, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Elite Infusion Iv Hydration Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELITE INFUSION IV HYDRATION LLC (NPI 1063047587) is a healthcare organization registered as an infusion therapy in Philadelphia, Pennsylvania and active in the NPI registry since March 2020. The organization lists Shavon Parker, Ceo, as its authorized official.

NPPES Registry Identity

NPI1063047587
Entity TypeOrganization
Primary Taxonomy261QI0500X
Legal Business NameELITE INFUSION IV HYDRATION LLC
Location Address6136 WALNUT STPhiladelphia, PA 19139-3704
Mailing Address6136 Walnut StPhiladelphia, PA 19139-3704
Phone(267) 516-8048
Organization SubpartNo
Authorized OfficialShavon ParkerCeo · (267) 516-8048
Enumeration DateMarch 4, 2020
NPPES CertifiedMarch 4, 2020
✔ NPI 1063047587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Infusion TherapyAmbulatory Health Care Facilities
Taxonomy Code261QI0500X
Also ListedLicensed Practical NurseTaxonomy 164W00000X
6136 WALNUT ST, Philadelphia, PA 19139
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CODERED HEALTHCARE SERVICES LLC
Home Health
6136 WALNUT ST
PHILADELPHIA, PA 19139
Philadelphia County (267) 516-8048

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elite Infusion IV Hydration LLC's NPI number?

The NPI number for Elite Infusion IV Hydration LLC is 1063047587. It was assigned to this organization in the NPPES registry on March 4, 2020.

Where is Elite Infusion IV Hydration LLC located?

Elite Infusion IV Hydration LLC is located at 6136 Walnut St, Philadelphia, PA 19139. The listed phone number is (267) 516-8048.

What is Elite Infusion IV Hydration LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Infusion Therapy, with taxonomy code 261QI0500X.

When was this NPI record last updated?

The NPPES record for Elite Infusion IV Hydration LLC was last updated on March 4, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.