| Table | # | Values |
|---|---|---|
| licensed_facility_listing_04 | 1 |
oshpd_id: 206300987 facility_name: RELIANCE HOSPICE HOUSE OF COSTA MESA license_num: 550003766 facility_level_desc: Parent Facility dba_address1: 3104 PIERCE AVENUE dba_city: COSTA MESA dba_zip_code: 92626 county_code: 30 county_name: ORANGE er_service_level_desc: Not Applicable total_number_beds: 6 facility_status_desc: Open facility_status_date: 2017-01-12 license_type_desc: Hospice Facility license_category_desc: Hospice Facility latitude: 33.68493000 longitude: -117.90257000 |
| licensed_facility_listing_05 | 1 |
oshpd_id: 206300987 facility_name: RELIANCE HOSPICE HOUSE OF COSTA MESA license_num: 550003766 facility_level_desc: Parent Facility dba_address1: 3104 PIERCE AVENUE dba_city: COSTA MESA dba_zip_code: 92626 county_code: 30 county_name: ORANGE er_service_level_desc: Not Applicable total_number_beds: 6 facility_status_desc: Open facility_status_date: 2017-01-12 license_type_desc: Hospice Facility license_category_desc: Hospice Facility latitude: 33.68493000 longitude: -117.90257000 |
| licensed_facility_listing_06 | 1 |
oshpd_id: 206300987 facility_name: RELIANCE HOSPICE HOUSE OF COSTA MESA license_num: 550003766 facility_level_desc: Parent Facility dba_address1: 3104 Pierce Ave dba_city: Costa Mesa dba_zip_code: 92626 county_code: 30 county_name: Orange er_service_level_desc: Not Applicable total_number_beds: 6 facility_status_desc: Open facility_status_date: 2017-01-12 license_type_desc: Hospice Facility license_category_desc: Hospice Facility latitude: 33.68493000 longitude: -117.90257000 |
| licensed_facility_listing_12 | 1 |
oshpd_id: 206300987 facility_name: RELIANCE HOSPICE HOUSE OF COSTA MESA license_num: 550003766 facility_level_desc: Parent Facility dba_address1: 3104 PIERCE AVENUE dba_city: COSTA MESA dba_zip_code: 92626 county_code: 30 county_name: ORANGE er_service_level_desc: Not Applicable total_number_beds: 6 facility_status_desc: Open facility_status_date: 2017-01-12 license_type_desc: Hospice Facility license_category_desc: Hospice Facility latitude: 33.68493000 longitude: -117.90257000 |
| licensed_facility_listing_13 | 1 |
oshpd_id: 206300987 facility_name: RELIANCE HOSPICE HOUSE OF COSTA MESA license_num: 550003766 facility_level_desc: Parent Facility dba_address1: 3104 PIERCE AVENUE dba_city: COSTA MESA dba_zip_code: 92626 county_code: 30 county_name: ORANGE er_service_level_desc: Not Applicable total_number_beds: 6 facility_status_desc: Open facility_status_date: 2017-01-12 license_type_desc: Hospice Facility license_category_desc: Hospice Facility latitude: 33.68493000 longitude: -117.90257000 |
| licensed_facility_listing_14 | 1 |
oshpd_id: 206300987 facility_name: RELIANCE HOSPICE HOUSE OF COSTA MESA license_num: 550003766 facility_level_desc: Parent Facility dba_address1: 3104 Pierce Ave dba_city: Costa Mesa dba_zip_code: 92626 county_code: 30 county_name: Orange er_service_level_desc: Not Applicable total_number_beds: 6 facility_status_desc: Open facility_status_date: 2017-01-12 license_type_desc: Hospice Facility license_category_desc: Hospice Facility latitude: 33.68493000 longitude: -117.90257000 |
| licensed_facility_listing_15 | 1 |
oshpd_id: 206300987 facility_name: RELIANCE HOSPICE HOUSE OF COSTA MESA license_num: 550003766 facility_level_desc: Parent Facility dba_address1: 3104 Pierce Ave dba_city: Costa Mesa dba_zip_code: 92626 county_code: 30 county_name: Orange er_service_level_desc: Not Applicable total_number_beds: 6 facility_status_desc: Open facility_status_date: 2017-01-12 license_type_desc: Hospice Facility license_category_desc: Hospice Facility latitude: 33.68493000 longitude: -117.90257000 |
| licensed_healthcare_facility_listing | 7 |
period: 2018-12-31 oshpd_id: 206300987 facility_name: RELIANCE HOSPICE HOUSE OF COSTA MESA license_num: 550003766 facility_level_desc: Parent Facility dba_address1: 3104 PIERCE AVENUE dba_city: COSTA MESA dba_zip_code: 92626 county_code: 30 county_name: ORANGE er_service_level_desc: Not Applicable total_number_beds: 6 facility_status_desc: Open facility_status_date: 2017-01-12 license_type_desc: Hospice Facility license_category_desc: Hospice Facility latitude: 33.68493000 longitude: -117.90257000 period: 2019-12-31 oshpd_id: 206300987 facility_name: RELIANCE HOSPICE HOUSE OF COSTA MESA license_num: 550003766 facility_level_desc: Parent Facility dba_address1: 3104 PIERCE AVENUE dba_city: COSTA MESA dba_zip_code: 92626 county_code: 30 county_name: ORANGE er_service_level_desc: Not Applicable total_number_beds: 6 facility_status_desc: Open facility_status_date: 2017-01-12 license_type_desc: Hospice Facility license_category_desc: Hospice Facility latitude: 33.68493000 longitude: -117.90257000 period: 2020-12-31 oshpd_id: 206300987 facility_name: RELIANCE HOSPICE HOUSE OF COSTA MESA license_num: 550003766 facility_level_desc: Parent Facility dba_address1: 3104 Pierce Ave dba_city: Costa Mesa dba_zip_code: 92626 county_code: 30 county_name: Orange er_service_level_desc: Not Applicable total_number_beds: 6 facility_status_desc: Open facility_status_date: 2017-01-12 license_type_desc: Hospice Facility license_category_desc: Hospice Facility latitude: 33.68493000 longitude: -117.90257000 period: 2018-06-30 oshpd_id: 206300987 facility_name: RELIANCE HOSPICE HOUSE OF COSTA MESA license_num: 550003766 facility_level_desc: Parent Facility dba_address1: 3104 PIERCE AVENUE dba_city: COSTA MESA dba_zip_code: 92626 county_code: 30 county_name: ORANGE er_service_level_desc: Not Applicable total_number_beds: 6 facility_status_desc: Open facility_status_date: 2017-01-12 license_type_desc: Hospice Facility license_category_desc: Hospice Facility latitude: 33.68493000 longitude: -117.90257000 period: 2019-06-30 oshpd_id: 206300987 facility_name: RELIANCE HOSPICE HOUSE OF COSTA MESA license_num: 550003766 facility_level_desc: Parent Facility dba_address1: 3104 PIERCE AVENUE dba_city: COSTA MESA dba_zip_code: 92626 county_code: 30 county_name: ORANGE er_service_level_desc: Not Applicable total_number_beds: 6 facility_status_desc: Open facility_status_date: 2017-01-12 license_type_desc: Hospice Facility license_category_desc: Hospice Facility latitude: 33.68493000 longitude: -117.90257000 period: 2020-06-30 oshpd_id: 206300987 facility_name: RELIANCE HOSPICE HOUSE OF COSTA MESA license_num: 550003766 facility_level_desc: Parent Facility dba_address1: 3104 Pierce Ave dba_city: Costa Mesa dba_zip_code: 92626 county_code: 30 county_name: Orange er_service_level_desc: Not Applicable total_number_beds: 6 facility_status_desc: Open facility_status_date: 2017-01-12 license_type_desc: Hospice Facility license_category_desc: Hospice Facility latitude: 33.68493000 longitude: -117.90257000 period: 2021-06-30 oshpd_id: 206300987 facility_name: RELIANCE HOSPICE HOUSE OF COSTA MESA license_num: 550003766 facility_level_desc: Parent Facility dba_address1: 3104 Pierce Ave dba_city: Costa Mesa dba_zip_code: 92626 county_code: 30 county_name: Orange er_service_level_desc: Not Applicable total_number_beds: 6 facility_status_desc: Open facility_status_date: 2017-01-12 license_type_desc: Hospice Facility license_category_desc: Hospice Facility latitude: 33.68493000 longitude: -117.90257000 |
| long_term_care_faclts_util_data_oct_2018_for_2017 | 1 |
oshpd_id: 206300987 fac_name: RELIANCE HOSPICE HOUSE OF COSTA MESA fac_address_one: 3104 PIERCE AVENUE fac_address_two: None fac_city: COSTA MESA fac_zipcode: 92626 fac_phone: 714-617-4410 fac_admin_name: Lauren Phan fac_oper_curryr: Yes beg_date: 2017-04-01 00:00:00 end_date: 2017-12-31 00:00:00 parent_name: Reliance Hospice and Palliative Care parent_address_one: 19750 S. Vermont Ave. Ste 160 parent_address_two: None parent_city: Torrance parent_state: CA parent_zip_9: 90502 report_prep_name: Miles Pickens lic_status: Open lic_status_date: 2017-01-12 00:00:00 lic_orig_date: None report_status: None mcal_provider_no: None mcare_provider_no: None aclaims_no: None assembly_dist: 74 senate_dist: 37 congress_dist: 48 cens_tract: 6059063903 med_svc_study_area: 116p laco_svc_plan_area: None health_svc_area: 13 - Orange county: Orange license_no: 550003766 longitude: -117.90257 latitude: 33.68493 type_lic: Hospice Facility type_cntrl: Investor - Corporation cert_mcar_sn: YES cert_mcal_sn: None cert_mcal_sn_md: None cert_mcal_ic: None cert_mcal_icdd: None cert_mcal_sub_or_sub_ped: None sn_gen_ltc_cens_py: 0 sn_md_ltc_cens_py: 0 ic_gen_ltc_cens_py: 0 ic_dd_ltc_cens_py: 0 cl_ltc_cens_py: 0 hofa_ltc_cens_py: 0 ltc_cens_py_totl: 0 sn_gen_ltc_adm: 0 |
| long_term_care_faclts_util_data_oct_2018_for_2017_sec5 | 1 |
oshpd_id: 206300987 fac_name: RELIANCE HOSPICE HOUSE OF COSTA MESA equip_acq_over_500k: No equip_01_descrip: None equip_01_value: None equip_01_acqui_dt: None equip_01_acqui_means: None equip_02_descrip: None equip_02_value: None equip_02_acqui_dt: None equip_02_acqui_means: None equip_03_descrip: None equip_03_value: None equip_03_acqui_dt: None equip_03_acqui_means: None equip_04_descrip: None equip_04_value: None equip_04_acqui_dt: None equip_04_acqui_means: None equip_05_descrip: None equip_05_value: None equip_05_acqui_dt: None equip_05_acqui_means: None equip_06_descrip: None equip_06_value: None equip_06_acqui_dt: None equip_06_acqui_means: None equip_07_descrip: None equip_07_value: None equip_07_acqui_dt: None equip_07_acqui_means: None equip_08_descrip: None equip_08_value: None equip_08_acqui_dt: None equip_08_acqui_means: None equip_09_descrip: None equip_09_value: None equip_09_acqui_dt: None equip_09_acqui_means: None equip_10_descrip: None equip_10_value: None equip_10_acqui_dt: None equip_10_acqui_means: None cap_exp_over_1mil: No proj_01_descrip_cap_exp: None proj_01_projtd_cap_exp: None proj_01_oshpd_proj_no: None proj_02_descrip_cap_exp: None proj_02_projtd_cap_exp: None proj_02_oshpd_proj_no: None proj_03_descrip_cap_exp: None proj_03_projtd_cap_exp: None |
| pivot_table_long_term_care_faclts_util_data_2017 | 1 |
oshpd_id: 206300987 fac_name: RELIANCE HOSPICE HOUSE OF COSTA MESA fac_address_one: 3104 PIERCE AVENUE fac_city: COSTA MESA fac_zipcode: 92626 fac_oper_curryr: Yes beg_date: 2017-04-01 00:00:00 end_date: 2017-12-31 00:00:00 lic_status: Open assembly_dist: 74 senate_dist: 37 congress_dist: 48 cens_tract: 6059063903 laco_svc_plan_area: None health_svc_area: 13 - Orange county: Orange license_no: 550003766 longitude: -117.90257 latitude: 33.68493 type_lic: Hospice Facility type_cntrl: Investor - Corporation cert_mcar_sn: YES cert_mcal_sn: NO cert_mcal_sn_md: None cert_mcal_ic: None cert_mcal_icdd: None cert_mcal_sub_or_sub_ped: None sn_gen_ltc_cens_py: 0 sn_md_ltc_cens_py: 0 ic_gen_ltc_cens_py: 0 ic_dd_ltc_cens_py: 0 cl_ltc_cens_py: 0 hofa_ltc_cens_py: 0 ltc_cens_py_totl: 0 sn_gen_ltc_adm: 0 sn_md_ltc_adm: 0 ic_gen_ltc_adm: 0 ic_dd_ltc_adm: 0 cl_ltc_adm: 0 hofa_ltc_adm: 54 ltc_adm_totl: 54 sn_gen_ltc_dis: 0 sn_md_ltc_dis: 0 ic_gen_ltc_dis: 0 ic_dd_ltc_dis: 0 cl_ltc_dis: 0 hofa_ltc_dis: 51 ltc_dis_totl: 51 sn_gen_ltc_cens_cy: 0 sn_md_ltc_cens_cy: 0 ic_gen_ltc_cens_cy: 0 ic_dd_ltc_cens_cy: 0 |
| pivot_table_long_term_care_faclts_util_data_2018 | 1 |
oshpd_id: 206300987 fac_no: 206300987 fac_name: RELIANCE HOSPICE HOUSE OF COSTA MESA fac_str_addr: 3104 PIERCE AVENUE fac_city: COSTA MESA fac_zip: 92626 fac_operated_this_yr: Yes fac_op_per_begin_dt: 2018-01-01 00:00:00 fac_op_per_end_dt: 2018-12-31 00:00:00 license_no: 550003766 license_status: Open facility_level: Parent Facility longitude: -117.90257 latitude: 33.68493 assembly_dist: District 74 senate_dist: District 37 congress_dist: District 48 cens_tract: 06059063903 la_county_svc_plan_area: None health_svc_area: 13 - Orange county: Orange lic_cat: Hospice 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: 122 pats_adm_from_hsp: None pats_adm_from_state_hsp: None pats_adm_from_other_ltc: 10 pats_adm_from_res_board_and_care: 1 pats_adm_from_other: None tot_pats_adm: 133 medicare_pats: 4 medi_cal_pats: None managed_care_pats: None private_insurance_pats: None self_pay_pats: None all_other_pats: None tot_pats: 4 dsch_lt_2_wks: 115 dsch_2_wks_and_lt_1_month: 11 dsch_1_month_and_lt_3_months: 6 dsch_3_months_and_lt_7_months: 0 |
| pivot_table_long_term_care_faclts_util_data_2019 | 1 |
oshpd_id: 206300987 fac_no: 206300987 fac_name: RELIANCE HOSPICE HOUSE OF COSTA MESA fac_str_addr: 3104 PIERCE AVENUE fac_city: COSTA MESA fac_zip: 92626 fac_operated_this_yr: Yes fac_op_per_begin_dt: 2019-01-01 00:00:00 fac_op_per_end_dt: 2019-12-31 00:00:00 license_no: 550003766 license_status: Open facility_level: Parent Facility longitude: -117.90257 latitude: 33.68493 assembly_dist: District 74 senate_dist: District 37 congress_dist: Newport Beach -- District 48 cens_tract: 06059063903 la_county_svc_plan_area: None health_svc_area: 13 - Orange county: Orange lic_cat: Hospice 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: 33 pats_adm_from_hsp: None pats_adm_from_state_hsp: None pats_adm_from_other_ltc: 3 pats_adm_from_res_board_and_care: 3 pats_adm_from_other: 83 tot_pats_adm: 122 medicare_pats: 5 medi_cal_pats: None managed_care_pats: None private_insurance_pats: None self_pay_pats: None all_other_pats: None tot_pats: 5 dsch_lt_2_wks: 99 dsch_2_wks_and_lt_1_month: 15 dsch_1_month_and_lt_3_months: 5 dsch_3_months_and_lt_7_months: 2 |
| pivot_table_long_term_care_faclts_util_data_2020 | 1 |
oshpd_id: 206300987 fac_no: 206300987 fac_name: RELIANCE HOSPICE HOUSE OF COSTA MESA fac_str_addr: 3104 PIERCE AVENUE fac_city: COSTA MESA fac_zip: 92626 fac_operated_this_yr: Yes fac_op_per_begin_dt: 2020-01-01 00:00:00 fac_op_per_end_dt: 2020-05-31 00:00:00 license_no: 550003766 license_status: Closed facility_level: Parent Facility longitude: -117.90257 latitude: 33.68493 assembly_dist: District 74 senate_dist: District 37 congress_dist: District 48 cens_tract: 06059063903 la_county_svc_plan_area: None health_svc_area: 13 - Orange county: Orange lic_cat: Hospice 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: 6 pats_adm_from_hsp: 3 pats_adm_from_state_hsp: 0 pats_adm_from_other_ltc: 2 pats_adm_from_res_board_and_care: 4 pats_adm_from_other: 4 tot_pats_adm: 19 medicare_pats: 0 medi_cal_pats: 0 managed_care_pats: 0 private_insurance_pats: 0 self_pay_pats: 0 all_other_pats: 0 tot_pats: None dsch_lt_2_wks: 21 dsch_2_wks_and_lt_1_month: 2 dsch_1_month_and_lt_3_months: 1 dsch_3_months_and_lt_7_months: 0 |
| pivot_table_long_term_care_faclts_util_data_2021 | 1 |
oshpd_id: 206300987 fac_no: 206300987 fac_name: RELIANCE HOSPICE HOUSE OF COSTA MESA fac_str_addr: 3104 PIERCE AVENUE fac_city: COSTA MESA fac_zip: 92626 fac_operated_this_yr: No fac_op_per_begin_dt: 2021-01-01 00:00:00 fac_op_per_end_dt: 2021-01-11 00:00:00 license_no: 550003766 license_status: Closed facility_level: Parent Facility longitude: -117.902335 latitude: 33.684915 assembly_dist: District 74 senate_dist: District 37 congress_dist: District 48 cens_tract: 06059063903 la_county_svc_plan_area: None health_svc_area: 13 - Orange county: Orange lic_cat: Hospice Facility licee_toc: None 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_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: None 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: None |