Organization Active NPI

Elera Staffing, LLC

  • Home Infusion Agency
  • Fullerton, CA
National Provider Identifier
1720733322
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion AgencyTaxonomy code 251F00000X
Legal business name
ELERA STAFFING, LLC
Practice address
1440 N Harbor Blvd Ste 916
Fullerton, CA 92835-4127
Phone
(424) 442-0290
NPI assigned
Feb 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dasheavia Jolly, RN
Title
Ceo
Phone
(478) 978-3347

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WH0200X
Home Health Agency 251E00000X
Home Infusion Agency 251F00000X Primary

Addresses

Primary practice location

1440 N Harbor Blvd Ste 916
Fullerton, CA 92835-4127

Mailing address

12550 Crenshaw Blvd Apt 219
Hawthorne, CA 90250-3869
Phone (478) 978-3347

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1644796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644796800000",
    "number": "1720733322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12550 CRENSHAW BLVD APT 219",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902503869",
            "telephone_number": "478-978-3347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 N HARBOR BLVD STE 916",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928354127",
            "telephone_number": "424-442-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELERA STAFFING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-14",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A",
        "authorized_official_last_name": "JOLLY",
        "authorized_official_first_name": "DASHEAVIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "478-978-3347",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.