Organization Active NPI

Hydra Golden Care LLC

  • In Home Supportive Care Agency
  • San Diego, CA
National Provider Identifier
1962214759
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HYDRA GOLDEN CARE LLC
Practice address
5034 Auburn Dr
San Diego, CA 92105-3619
Phone
(619) 316-7936
NPI assigned
Jan 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Authorized official

Name
Haja Hidra
Title
Owner, President
Phone
(619) 316-7936

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

5034 Auburn Dr
San Diego, CA 92105-3619

Mailing address

5034 Auburn Dr
San Diego, CA 92105-3619

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1737417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737417600000",
    "number": "1962214759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5034 AUBURN DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921053619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5034 AUBURN DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921053619",
            "telephone_number": "619-316-7936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYDRA GOLDEN CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-21",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A",
        "authorized_official_last_name": "HIDRA",
        "authorized_official_first_name": "HAJA",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "619-316-7936"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.