Organization Active NPI

Good Life IV Hydration LLC

  • Infusion Therapy Registered Nurse
  • Kindred, FL
National Provider Identifier
1629958277
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Registered NurseTaxonomy code 163WI0500X
Legal business name
GOOD LIFE IV HYDRATION LLC
Practice address
1582 Carbondale Row
Kindred, FL 34744-6444
Phone
(203) 543-8045
NPI assigned
Sep 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Authorized official

Name
Brenda Ocasio, RN
Title
Owner
Phone
(203) 543-8045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WI0500X Primary

Addresses

Primary practice location

1582 Carbondale Row
Kindred, FL 34744-6444

Mailing address

1582 Carbondale Row
Kindred, FL 34744-6444
Phone (203) 543-8045

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1756944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756944000000",
    "number": "1629958277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1582 CARBONDALE ROW",
            "city": "KINDRED",
            "state": "FL",
            "postal_code": "347446444",
            "telephone_number": "203-543-8045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1582 CARBONDALE ROW",
            "city": "KINDRED",
            "state": "FL",
            "postal_code": "347446444",
            "telephone_number": "203-543-8045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD LIFE IV HYDRATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-04",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A",
        "authorized_official_last_name": "OCASIO",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-543-8045",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WI0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kindred, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; 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.