Active NPI
Elite Infusion Care LLC
Doing business as Elite Infusion Care
- Home Infusion Agency
- Fullerton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Infusion Agency
- Legal business name
- ELITE INFUSION CARE LLC
- Doing business as
- Elite Infusion Care
- Practice address
- 1440 N Harbor Blvd Ste 916
Fullerton, CA 92835-4127 - Phone
- (424) 324-9322
- Fax
- (424) 349-0011
- NPI assigned
- Nov 17, 2021
- Last updated
- Jun 17, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Dasheavia Q Jolly, RN
- Title
- Owner
- Phone
- (478) 978-3347
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Home Infusion Agency | 251F00000X | Primary | ||
| Nursing Care Agency | 251J00000X |
Addresses
Primary practice location
1440 N Harbor Blvd Ste 916
Fullerton, CA 92835-4127
Mailing address
13607 Cordary Ave Apt 122
Hawthorne, CA 90250-7437
Phone (478) 978-3347
Other names 1
- Elite Infusion Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Home infusion therapy
- Medicare-enrolled home infusion therapy supplier
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230714001741 | CA | Part B Supplier - Home Infusion Therapy Supplier | 4486014032 | Practice locations: Fullerton, CA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2279018 | Elite Infusion Care, LLC | Certificate of waiver | Mar 27, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Registered Nurse
- Fullerton, CA
- NPI 1811335326
-
- Psychiatric/Mental Health Nurse Practitioner
- Meridian, MS
- NPI 1962280263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637107200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750118400000",
"number": "1760148456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13607 CORDARY AVE APT 122",
"city": "HAWTHORNE",
"state": "CA",
"postal_code": "902507437",
"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": "424-324-9322",
"fax_number": "424-349-0011"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELITE INFUSION CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-17",
"last_updated": "2025-06-17",
"certification_date": "2025-06-17",
"status": "A",
"authorized_official_last_name": "JOLLY",
"authorized_official_first_name": "DASHEAVIA",
"authorized_official_middle_name": "Q",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "478-978-3347",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"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
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Elite Infusion Care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Elite Infusion Care",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jun 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.