Table # Values
licensed_healthcare_facility_listing 9 period: current
oshpd_id: 206190148
facility_name: CARESOURCE CONGREGATE LIVING
license_num: 550004542
facility_level_desc: Parent Facility
dba_address1: 17227 SIMONDS STREET
dba_city: GRANADA HILLS
dba_zip_code: 91344
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 12
facility_status_desc: Open
facility_status_date: 2019-01-30
license_type_desc: Long Term Care Facility
license_category_desc: Congregate Living Health Facility
latitude: 34.27675330
longitude: -118.50880220
period: 2019-12-31
oshpd_id: 206190148
facility_name: MAYANE CONGREGATE LIVING
license_num: 550004542
facility_level_desc: Parent Facility
dba_address1: 17227 SIMONDS STREET
dba_city: GRANADA HILLS
dba_zip_code: 91344
county_code: 19
county_name: LOS ANGELES
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2019-01-30
license_type_desc: Long Term Care Facility
license_category_desc: Congregate Living Health Facility
latitude: 34.27647000
longitude: -118.50876000
period: 2020-12-31
oshpd_id: 206190148
facility_name: CARESOURCE CONGREGATE LIVING
license_num: 550004542
facility_level_desc: Parent Facility
dba_address1: 17227 Simonds St
dba_city: Granada Hills
dba_zip_code: 91344
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2019-01-30
license_type_desc: Long Term Care Facility
license_category_desc: Congregate Living Health Facility
latitude: 34.27647000
longitude: -118.50876000
period: 2021-12-31
oshpd_id: 206190148
facility_name: CARESOURCE CONGREGATE LIVING
license_num: 550004542
facility_level_desc: Parent Facility
dba_address1: 17227 Simonds St
dba_city: Granada Hills
dba_zip_code: 91344
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2019-01-30
license_type_desc: Long Term Care Facility
license_category_desc: Congregate Living Health Facility
latitude: 34.27647000
longitude: -118.50876000
period: 2022-12-31
oshpd_id: 206190148
facility_name: CARESOURCE CONGREGATE LIVING
license_num: 550004542
facility_level_desc: Parent Facility
dba_address1: 17227 Simonds St
dba_city: Granada Hills
dba_zip_code: 91344
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2019-01-30
license_type_desc: Long Term Care Facility
license_category_desc: Congregate Living Health Facility
latitude: 34.27647000
longitude: -118.50876000
period: 2020-06-30
oshpd_id: 206190148
facility_name: MAYANE CONGREGATE LIVING
license_num: 550004542
facility_level_desc: Parent Facility
dba_address1: 17227 Simonds St
dba_city: Granada Hills
dba_zip_code: 91344
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2019-01-30
license_type_desc: Long Term Care Facility
license_category_desc: Congregate Living Health Facility
latitude: 34.27647000
longitude: -118.50876000
period: 2021-06-30
oshpd_id: 206190148
facility_name: CARESOURCE CONGREGATE LIVING
license_num: 550004542
facility_level_desc: Parent Facility
dba_address1: 17227 Simonds St
dba_city: Granada Hills
dba_zip_code: 91344
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2019-01-30
license_type_desc: Long Term Care Facility
license_category_desc: Congregate Living Health Facility
latitude: 34.27647000
longitude: -118.50876000
period: 2022-06-30
oshpd_id: 206190148
facility_name: CARESOURCE CONGREGATE LIVING
license_num: 550004542
facility_level_desc: Parent Facility
dba_address1: 17227 Simonds St
dba_city: Granada Hills
dba_zip_code: 91344
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2019-01-30
license_type_desc: Long Term Care Facility
license_category_desc: Congregate Living Health Facility
latitude: 34.27647000
longitude: -118.50876000
period: 2023-06-30
oshpd_id: 206190148
facility_name: CARESOURCE CONGREGATE LIVING
license_num: 550004542
facility_level_desc: Parent Facility
dba_address1: 17227 Simonds St
dba_city: Granada Hills
dba_zip_code: 91344
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2019-01-30
license_type_desc: Long Term Care Facility
license_category_desc: Congregate Living Health Facility
latitude: 34.27647000
longitude: -118.50876000
pivot_table_long_term_care_faclts_util_data_2019 1 oshpd_id: 206190148
fac_no: 206190148
fac_name: MAYANE CONGREGATE LIVING
fac_str_addr: 17227 SIMONDS STREET
fac_city: GRANADA HILLS
fac_zip: 91344
fac_operated_this_yr: Yes
fac_op_per_begin_dt: 2019-01-30 00:00:00
fac_op_per_end_dt: 2019-12-31 00:00:00
license_no: 550004542
license_status: Open
facility_level: Parent Facility
longitude: -118.50876
latitude: 34.27647
assembly_dist: District 38
senate_dist: District 18
congress_dist: Los Angeles -- District 30
cens_tract: 06037111201
la_county_svc_plan_area: San Fernando Valley
health_svc_area: 11 - Los Angeles
county: Los Angeles
lic_cat: Congregate Living Health Facility
licee_toc: Investor - Corporation
cert_medi_cal_sn_mentally_disord: None
cert_fac_medi_cal_ic_gen: None
cert_fac_medi_cal_ic_dev_dis: None
cert_medi_cal_subacute_pediatric: None
sn_dec_31_py_cen: None
sn_nursing_plus_adm: None
sn_minus_dsch: None
sn_dec_31_cen: None
sn_pat_days_for: None
sn_lic_beds: 0
sn_lic_bed_days: 0
pats_adm_from_home: None
pats_adm_from_hsp: 5
pats_adm_from_state_hsp: None
pats_adm_from_other_ltc: None
pats_adm_from_res_board_and_care: None
pats_adm_from_other: None
tot_pats_adm: 5
medicare_pats: None
medi_cal_pats: None
managed_care_pats: 4
private_insurance_pats: None
self_pay_pats: None
all_other_pats: None
tot_pats: 4
dsch_lt_2_wks: None
dsch_2_wks_and_lt_1_month: None
dsch_1_month_and_lt_3_months: 1
dsch_3_months_and_lt_7_months: None
pivot_table_long_term_care_faclts_util_data_2020 1 oshpd_id: 206190148
fac_no: 206190148
fac_name: CARESOURCE CONGREGATE LIVING
fac_str_addr: 17227 SIMONDS STREET
fac_city: GRANADA HILLS
fac_zip: 91344
fac_operated_this_yr: Yes
fac_op_per_begin_dt: 2020-01-01 00:00:00
fac_op_per_end_dt: 2020-12-31 00:00:00
license_no: 550004542
license_status: Open
facility_level: Parent Facility
longitude: -118.50876
latitude: 34.27647
assembly_dist: District 38
senate_dist: District 18
congress_dist: District 30
cens_tract: 06037111201
la_county_svc_plan_area: San Fernando Valley
health_svc_area: 11 - Los Angeles
county: Los Angeles
lic_cat: Congregate Living Health Facility
licee_toc: Investor - Corporation
cert_medi_cal_sn_mentally_disord: None
cert_fac_medi_cal_ic_gen: None
cert_fac_medi_cal_ic_dev_dis: None
cert_medi_cal_subacute_pediatric: None
sn_dec_31_py_cen: None
sn_nursing_plus_adm: None
sn_minus_dsch: None
sn_dec_31_cen: None
sn_pat_days_for: None
sn_lic_beds: 0
sn_lic_bed_days: 0
pats_adm_from_home: None
pats_adm_from_hsp: 7
pats_adm_from_state_hsp: None
pats_adm_from_other_ltc: None
pats_adm_from_res_board_and_care: None
pats_adm_from_other: None
tot_pats_adm: 7
medicare_pats: None
medi_cal_pats: None
managed_care_pats: 5
private_insurance_pats: None
self_pay_pats: None
all_other_pats: None
tot_pats: 5
dsch_lt_2_wks: None
dsch_2_wks_and_lt_1_month: 2
dsch_1_month_and_lt_3_months: 1
dsch_3_months_and_lt_7_months: 2
pivot_table_long_term_care_faclts_util_data_2021 1 oshpd_id: 206190148
fac_no: 206190148
fac_name: CARESOURCE CONGREGATE LIVING
fac_str_addr: 17227 SIMONDS STREET
fac_city: GRANADA HILLS
fac_zip: 91344
fac_operated_this_yr: Yes
fac_op_per_begin_dt: 2021-01-01 00:00:00
fac_op_per_end_dt: 2021-12-31 00:00:00
license_no: 550004542
license_status: Open
facility_level: Parent Facility
longitude: -118.508809
latitude: 34.276741
assembly_dist: District 38
senate_dist: District 18
congress_dist: District 30
cens_tract: 06037111201
la_county_svc_plan_area: San Fernando Valley
health_svc_area: 11 - Los Angeles
county: Los Angeles
lic_cat: Congregate Living Health Facility
licee_toc: Investor - Corporation
cert_medi_cal_sn_mentally_disord: None
cert_fac_medi_cal_ic_gen: None
cert_fac_medi_cal_ic_dev_dis: None
cert_medi_cal_subacute_pediatric: None
sn_dec_31_py_cen: None
sn_nursing_plus_adm: None
sn_minus_dsch: None
sn_dec_31_cen: None
sn_pat_days_for: None
sn_lic_beds: 0
sn_lic_bed_days: 0
pats_adm_from_home: None
pats_adm_from_hsp: 11
pats_adm_from_state_hsp: None
pats_adm_from_other_ltc: None
pats_adm_from_res_board_and_care: None
pats_adm_from_other: None
tot_pats_adm: 11
medicare_pats: None
medi_cal_pats: None
managed_care_pats: 6
private_insurance_pats: None
self_pay_pats: None
all_other_pats: None
tot_pats: 6
dsch_lt_2_wks: None
dsch_2_wks_and_lt_1_month: None
dsch_1_month_and_lt_3_months: 2
dsch_3_months_and_lt_7_months: 4
pivot_table_long_term_care_faclts_util_data_2022 1 oshpd_id: 206190148
fac_no: 206190148
fac_name: CARESOURCE CONGREGATE LIVING
fac_str_addr: 17227 SIMONDS STREET
fac_city: GRANADA HILLS
fac_zip: 91344
fac_operated_this_yr: Yes
fac_op_per_begin_dt: 2022-01-01 00:00:00
fac_op_per_end_dt: 2022-12-31 00:00:00
license_no: 550004542
license_status: Open
facility_level: Parent Facility
longitude: -118.508809
latitude: 34.276741
assembly_dist: District 38
senate_dist: District 18
congress_dist: District 30
census_key: 06037111201
la_county_svc_plan_area: San Fernando Valley
health_svc_area: 11 - Los Angeles
county: Los Angeles
lic_cat: Congregate Living Health Facility
licee_toc: Investor - Corporation
cert_medi_cal_sn_mentally_disord: None
cert_fac_medi_cal_ic_gen: None
cert_fac_medi_cal_ic_dev_dis: None
cert_medi_cal_subacute_pediatric: None
sn_dec_31_py_cen: None
sn_nursing_plus_adm: None
sn_minus_dsch: None
sn_dec_31_cen: None
sn_pat_days_for: None
sn_lic_beds: 0
sn_lic_bed_days: 0
pats_adm_from_home: None
pats_adm_from_hsp: 12
pats_adm_from_other_ltc: None
pats_adm_from_res_board_and_care: None
pats_adm_from_other: None
tot_pats_adm: 12
medicare_pats: None
medi_cal_pats: None
managed_care_pats: 6
private_insurance_pats: None
self_pay_pats: None
all_other_pats: None
tot_pats: 6
dsch_lt_2_wks: None
dsch_2_wks_and_lt_1_month: 2
dsch_1_month_and_lt_3_months: 4
dsch_3_months_and_lt_7_months: 4
dsch_7_months_and_lt_1_yr: 2