ELITE INFUSION CARE LLC
NPI 1760148456
Home Infusion in Fullerton, CA

NPI Status: Active since November 17, 2021

Contact Information

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

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  • Organization
  • Home Infusion
  • CLIA Number: 05D2279018
  • CLIA Cert. Type: Home Health Agency
  • CLIA Exp. Date: 03-27-2027

About ELITE INFUSION CARE LLC

This page provides the complete NPI Profile along with additional information for Elite Infusion Care Llc, a provider established in Fullerton, California operating as a Home Infusion. The healthcare provider is registered in the NPI registry with number 1760148456 assigned on November 2021. The practitioner's primary taxonomy code is 251F00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's . The authorized official of this NPI record is Mrs. Dasheavia Q Jolly Rn (Owner)

NPI
1760148456
Provider Legal Name
ELITE INFUSION CARE LLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
1440 N HARBOR BLVD STE 916 FULLERTON, CA 92835
Location Phone
(424) 324-9322
Location Fax
(424) 349-0011
Mailing Address
13607 CORDARY AVE APT 122 HAWTHORNE, CA 90250
Mailing Phone
(478) 978-3347
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-17-2021
Last Update Date
06-17-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Home Infusion

Taxonomy Code
251F00000X
Type
Agencies

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251E00000XAgencies

Home Health

 
2251J00000XAgencies

Nursing Care

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. DASHEAVIA Q JOLLY RN

Authorized Official Title
OWNER
Authorized Official Phone
(478) 978-3347

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D2279018
Facility Type
Home Health Agency
Certificate Effective Date
March 28, 2025
Certificate Expiration Date
March 27, 2027
Laboratory Director
SABA HAQ
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Elite Infusion Care Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1760148456, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
0
Unchanged
Pos 5
1
Doubled → 2
Pos 6
4
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
4
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 1 → 2 8 → 16 → 7 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 2 + 0 + 2 + 4 + 1 + 6 + 4 + 1 + 0 + 24 = 54

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1760148456.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Home Infusion
1440 N HARBOR BLVD STE 916
FULLERTON, CA 92835
Registered Nurse
1440 N HARBOR BLVD STE 916
FULLERTON, CA 92835
Allergy & Immunology (Allergy)
1440 N HARBOR BLVD STE 916
FULLERTON, CA 92835
Internal Medicine (Obesity Medicine)
1440 N HARBOR BLVD STE 916
FULLERTON, CA 92835

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760148456, enumerated as an "organization" on November 17, 2021.

The provider is located at 1440 N HARBOR BLVD STE 916 FULLERTON, CA 92835 and the phone number is (424) 324-9322.

Home Infusion with taxonomy code 251F00000X.