Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Elite Infusion IV Hydration LLC

Organization Licensed Practical Nurse · NPI 1063047587

Elite Infusion IV Hydration LLC is a Licensed Practical Nurse in Philadelphia, Pennsylvania. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6136 Walnut St
Philadelphia, PA 19139-3704
Phone: (267) 516-8048
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Infusion Therapy Clinic/Center (primary) Taxonomy 261QI0500X
Licensed Practical Nurse Taxonomy 164W00000X

Record details

NPI number1063047587
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shavon Parker — Ceo · (267) 516-8048
NPI enumeratedMarch 4, 2020
Last updated in NPPESMarch 4, 2020
Certification dateMarch 4, 2020
Mailing address6136 Walnut St, Philadelphia, PA 19139-3704

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