Blessed Hands IV Hydration & Wellness LLC
Organization Active NPI Adult Health Nurse Practitioner · Lihue, HI
NPI 1245834779 · NPPES record last updated May 7, 2025
Key facts
- NPI
- 1245834779
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- Legal business name
- BLESSED HANDS IV HYDRATION & WELLNESS LLC
- Practice address
- 3501 Rice St Ste 2022
Lihue, HI 96766-1757 - Phone
- (808) 755-5056
- NPI assigned
- Nov 25, 2020
- Organization subpart
- No
Authorized official
- Name
- Mrs. Lucky K Robinson, AGPC, DNP-C
- Title
- Ceo
- Phone
- (808) 378-2400
Practitioners 1
-
Lucky Robinson, APRN, AGPC-NP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in HI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210129001227 | HI | Part B Supplier - Clinic/Group Practice | 2860806064 |
Receives reassigned benefits from 1 practitioner Practice locations: Lihue, HI |
National Provider Directory
Locations
3501 Rice St
Ste 2020
Lihue, HI 96766
Phone (808) 245-7548
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | |||
| Adult Health Nurse Practitioner |
363LA2200X | Yes |
Addresses
Primary practice location
3501 Rice St Ste 2022
Lihue, HI 96766-1757
Mailing address
3501 Rice St Ste 2020
Lihue, HI 96766-1757
Phone (808) 378-2400
Other providers in Lihue, HI
- Bennett Jacoby DDS Ms Inc.
- Elvie Rose Bisarra
- Candace H. Bishop
- Alexander Jay Bivens
- John R. Black
- Blessed Hands Mobile PLLC
- William E. Bodenstab
- Kathleen M. Bogdan
- Laurie E Bolton
- Carla Bonfim
All providers in Lihue, HI · Adult Health Nurse Practitioner in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.