Table # Values
licensed_healthcare_facility_listing 7 period: current
oshpd_id: 206190247
facility_name: PIERCE CONGREGATE LIVING, LLC
license_num: 550005602
facility_level_desc: Parent Facility
dba_address1: 12430 PIERCE STREET
dba_city: PACOIMA
dba_zip_code: 91331
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2020-06-04
license_type_desc: Long Term Care Facility
license_category_desc: Congregate Living Health Facility
latitude: 34.27393570
longitude: -118.40373640
period: 2020-12-31
oshpd_id: 206190247
facility_name: PIERCE CONGREGATE LIVING, LLC
license_num: 550005602
facility_level_desc: Parent Facility
dba_address1: 12430 Pierce St
dba_city: Pacoima
dba_zip_code: 91331
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2020-06-04
license_type_desc: Long Term Care Facility
license_category_desc: Congregate Living Health Facility
latitude: 34.27392000
longitude: -118.40372000
period: 2021-12-31
oshpd_id: 206190247
facility_name: PIERCE CONGREGATE LIVING, LLC
license_num: 550005602
facility_level_desc: Parent Facility
dba_address1: 12430 Pierce St
dba_city: Pacoima
dba_zip_code: 91331
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2020-06-04
license_type_desc: Long Term Care Facility
license_category_desc: Congregate Living Health Facility
latitude: 34.27392000
longitude: -118.40372000
period: 2022-12-31
oshpd_id: 206190247
facility_name: PIERCE CONGREGATE LIVING, LLC
license_num: 550005602
facility_level_desc: Parent Facility
dba_address1: 12430 Pierce St
dba_city: Pacoima
dba_zip_code: 91331
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2020-06-04
license_type_desc: Long Term Care Facility
license_category_desc: Congregate Living Health Facility
latitude: 34.27392000
longitude: -118.40372000
period: 2021-06-30
oshpd_id: 206190247
facility_name: PIERCE CONGREGATE LIVING, LLC
license_num: 550005602
facility_level_desc: Parent Facility
dba_address1: 12430 Pierce St
dba_city: Pacoima
dba_zip_code: 91331
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2020-06-04
license_type_desc: Long Term Care Facility
license_category_desc: Congregate Living Health Facility
latitude: 34.27392000
longitude: -118.40372000
period: 2022-06-30
oshpd_id: 206190247
facility_name: PIERCE CONGREGATE LIVING, LLC
license_num: 550005602
facility_level_desc: Parent Facility
dba_address1: 12430 Pierce St
dba_city: Pacoima
dba_zip_code: 91331
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2020-06-04
license_type_desc: Long Term Care Facility
license_category_desc: Congregate Living Health Facility
latitude: 34.27392000
longitude: -118.40372000
period: 2023-06-30
oshpd_id: 206190247
facility_name: PIERCE CONGREGATE LIVING, LLC
license_num: 550005602
facility_level_desc: Parent Facility
dba_address1: 12430 Pierce St
dba_city: Pacoima
dba_zip_code: 91331
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2020-06-04
license_type_desc: Long Term Care Facility
license_category_desc: Congregate Living Health Facility
latitude: 34.27392000
longitude: -118.40372000
pivot_table_long_term_care_faclts_util_data_2020 1 oshpd_id: 206190247
fac_no: 206190247
fac_name: PIERCE CONGREGATE LIVING, LLC
fac_str_addr: 12430 PIERCE STREET
fac_city: PACOIMA
fac_zip: 91331
fac_operated_this_yr: Yes
fac_op_per_begin_dt: 2020-06-04 00:00:00
fac_op_per_end_dt: 2020-12-31 00:00:00
license_no: 550005602
license_status: Open
facility_level: Parent Facility
longitude: -118.40372
latitude: 34.27392
assembly_dist: District 39
senate_dist: District 18
congress_dist: District 29
cens_tract: 06037104108
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 - Limited Liability Company
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: 9
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: 9
medicare_pats: None
medi_cal_pats: None
managed_care_pats: None
private_insurance_pats: 3
self_pay_pats: None
all_other_pats: None
tot_pats: 3
dsch_lt_2_wks: 1
dsch_2_wks_and_lt_1_month: 1
dsch_1_month_and_lt_3_months: 1
dsch_3_months_and_lt_7_months: 3
pivot_table_long_term_care_faclts_util_data_2021 1 oshpd_id: 206190247
fac_no: 206190247
fac_name: PIERCE CONGREGATE LIVING, LLC
fac_str_addr: 12430 PIERCE STREET
fac_city: PACOIMA
fac_zip: 91331
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: 550005602
license_status: Open
facility_level: Parent Facility
longitude: -118.403744
latitude: 34.273935
assembly_dist: District 39
senate_dist: District 18
congress_dist: District 29
cens_tract: 06037104108
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 - Limited Liability Company
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: 4
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: 4
medicare_pats: None
medi_cal_pats: None
managed_care_pats: None
private_insurance_pats: None
self_pay_pats: None
all_other_pats: None
tot_pats: None
dsch_lt_2_wks: None
dsch_2_wks_and_lt_1_month: None
dsch_1_month_and_lt_3_months: None
dsch_3_months_and_lt_7_months: 4
pivot_table_long_term_care_faclts_util_data_2022 1 oshpd_id: 206190247
fac_no: 206190247
fac_name: PIERCE CONGREGATE LIVING, LLC
fac_str_addr: 12430 PIERCE STREET
fac_city: PACOIMA
fac_zip: 91331
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: 550005602
license_status: Open
facility_level: Parent Facility
longitude: -118.403744
latitude: 34.273935
assembly_dist: District 39
senate_dist: District 18
congress_dist: District 29
census_key: 06037104108
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 - Limited Liability Company
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: None
pats_adm_from_other_ltc: 6
pats_adm_from_res_board_and_care: None
pats_adm_from_other: None
tot_pats_adm: 6
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: None
dsch_3_months_and_lt_7_months: None
dsch_7_months_and_lt_1_yr: None