Table # Values
facility_profile_attributes 1 facility_desc: HOSPICE OF SAN JOAQUIN HOSPICE HOUSE
site_address1: 3888 PACIFIC AVE
site_address2: BUILDING B
site_city: STOCKTON
site_zip: 95204
site_x_coordinate: -121.308588
site_y_coordinate: 37.983898
oshpd_id: 206394067
license_type_desc: Long Term Care Facility
license_category_desc: Hospice Facility
license_number: 550004286
facility_level_desc: Parent Facility
er_service_level_desc: Not Specified
licensed_beds: 6
facility_status_desc: Open
financial_facility_count: 0
consolidated_facility_desc_pipe: None
consolidated_facility_desc_comma: None
period_begin_date: None
period_end_date: None
net_pat_rev_medicare_traditional_ip: None
net_pat_rev_medicare_managed_ip: None
net_pat_rev_medi_cal_traditional_ip: None
net_pat_rev_medi_cal_managed_ip: None
net_pat_rev_county_indigent_traditional_ip: None
net_pat_rev_county_indigent_managed_ip: None
net_pat_rev_third_party_traditional_ip: None
net_pat_rev_third_party_managed_ip: None
net_pat_rev_other_indigent_ip: None
net_pat_rev_other_payer_ip: None
net_pat_rev_total_ip: None
net_pat_rev_medicare_traditional_op: None
net_pat_rev_medicare_managed_op: None
net_pat_rev_medi_cal_traditional_op: None
net_pat_rev_medi_cal_managed_op: None
net_pat_rev_county_indigent_traditional_op: None
net_pat_rev_county_indigent_managed_op: None
net_pat_rev_third_party_traditional_op: None
net_pat_rev_third_party_managed_op: None
net_pat_rev_other_indigent_op: None
net_pat_rev_other_payer_op: None
net_pat_rev_total_op: None
payer_mix_medicare_traditional_ip: .000000000000
payer_mix_medicare_traditional_ip_state: None
payer_mix_medicare_managed_ip: .000000000000
payer_mix_medicare_managed_ip_state: None
payer_mix_medi_cal_traditional_ip: .000000000000
payer_mix_medi_cal_traditional_ip_state: None
payer_mix_medi_cal_managed_ip: .000000000000
payer_mix_medi_cal_managed_ip_state: None
payer_mix_county_indigent_traditional_ip: .000000000000
payer_mix_county_indigent_traditional_ip_state: None
payer_mix_county_indigent_managed_ip: .000000000000
payer_mix_county_indigent_managed_ip_state: None
payer_mix_third_party_traditional_ip: .000000000000
payer_mix_third_party_traditional_ip_state: None
payer_mix_third_party_managed_ip: .000000000000
payer_mix_third_party_managed_ip_state: None
payer_mix_other_indigent_ip: .000000000000
payer_mix_other_indigent_ip_state: None
payer_mix_other_payer_ip: .000000000000
payer_mix_other_payer_ip_state: None
payer_mix_medicare_traditional_op: .000000000000
payer_mix_medicare_traditional_op_state: None
payer_mix_medicare_managed_op: .000000000000
payer_mix_medicare_managed_op_state: None
payer_mix_medi_cal_traditional_op: .000000000000
payer_mix_medi_cal_traditional_op_state: None
payer_mix_medi_cal_managed_op: .000000000000
payer_mix_medi_cal_managed_op_state: None
payer_mix_county_indigent_traditional_op: .000000000000
payer_mix_county_indigent_traditional_op_state: None
payer_mix_county_indigent_managed_op: .000000000000
payer_mix_county_indigent_managed_op_state: None
payer_mix_third_party_traditional_op: .000000000000
payer_mix_third_party_traditional_op_state: None
payer_mix_third_party_managed_op: .000000000000
payer_mix_third_party_managed_op_state: None
payer_mix_other_indigent_op: .000000000000
payer_mix_other_indigent_op_state: None
payer_mix_other_payer_op: .000000000000
payer_mix_other_payer_op_state: None
avg_stay_medicare_traditional: None
avg_stay_medicare_managed: None
avg_stay_medi_cal_traditional: None
avg_stay_medi_cal_managed: None
avg_stay_county_indigent_traditional: None
avg_stay_county_indigent_managed: None
avg_stay_third_party_traditional: None
avg_stay_third_party_managed: None
avg_stay_other_indigent_total: None
avg_stay_other_payer_total: None
avg_stay_total: None
active_projects: None
active_project_costs: None
active_projects_state: 4279
active_project_costs_state: 18558539344
spc_1: None
spc_2: None
spc_3: None
spc_4: None
spc_5: None
spc_1_state: 33
spc_2_state: 655
spc_3_state: 385
spc_4_state: 781
spc_5_state: 1446
sysdate: None
licensed_facility_listing_01 1 oshpd_id: 206394067
facility_name: HOSPICE OF SAN JOAQUIN HOSPICE HOUSE
license_num: 550004286
facility_level_desc: Parent Facility
dba_address1: 3888 PACIFIC AVE
dba_city: STOCKTON
dba_zip_code: 95204
county_code: 39
county_name: San Joaquin
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2018-02-07
license_type_desc: Long Term Care Facility
license_category_desc: Hospice Facility
latitude: 37.98389820
longitude: -121.30858760
licensed_facility_listing_02 1 oshpd_id: 206394067
facility_name: HOSPICE OF SAN JOAQUIN RESIDENTIAL LIVING CENTER
license_num: 100000779
facility_level_desc: Parent Facility
dba_address1: 3888 PACIFIC AVENUE
dba_city: STOCKTON
dba_zip_code: 95204
county_code: 39
county_name: SAN JOAQUIN
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 09/03/2004
license_type_desc: Long Term Care Facility
license_category_desc: Congregate Living Health Facility
longitude: -121.30951
latitude: 37.98406
licensed_facility_listing_03 1 oshpd_id: 206394067
facility_name: HOSPICE OF SAN JOAQUIN RESIDENTIAL LIVING CENTER
license_num: 100000779
facility_level_desc: Parent Facility
dba_address1: 3888 PACIFIC AVENUE
dba_city: STOCKTON
dba_zip_code: 95204
county_code: 39
county_name: SAN JOAQUIN
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 9/3/2004
license_type_desc: Long Term Care Facility
license_category_desc: Congregate Living Health Facility
latitude: 37.98406
longitude: -121.30951
licensed_facility_listing_04 1 oshpd_id: 206394067
facility_name: HOSPICE OF SAN JOAQUIN RESIDENTIAL LIVING CENTER
license_num: 100000779
facility_level_desc: Parent Facility
dba_address1: 3888 PACIFIC AVENUE
dba_city: STOCKTON
dba_zip_code: 95204
county_code: 39
county_name: SAN JOAQUIN
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2004-09-03
license_type_desc: Long Term Care Facility
license_category_desc: Congregate Living Health Facility
latitude: 37.98406000
longitude: -121.30951000
licensed_facility_listing_05 1 oshpd_id: 206394067
facility_name: HOSPICE OF SAN JOAQUIN HOSPICE HOUSE
license_num: 550004286
facility_level_desc: Parent Facility
dba_address1: 3888 PACIFIC AVENUE, BUILDING B
dba_city: STOCKTON
dba_zip_code: 95204
county_code: 39
county_name: SAN JOAQUIN
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2018-02-07
license_type_desc: Hospice Facility
license_category_desc: Hospice Facility
latitude: 37.98355000
longitude: -121.30935000
licensed_facility_listing_06 1 oshpd_id: 206394067
facility_name: HOSPICE OF SAN JOAQUIN HOSPICE HOUSE
license_num: 550004286
facility_level_desc: Parent Facility
dba_address1: 3888 Pacific Ave
dba_city: Stockton
dba_zip_code: 95204
county_code: 39
county_name: San Joaquin
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2018-02-07
license_type_desc: Hospice Facility
license_category_desc: Hospice Facility
latitude: 37.98333000
longitude: -121.30924000
licensed_facility_listing_07 1 oshpd_id: 206394067
facility_name: HOSPICE OF SAN JOAQUIN HOSPICE HOUSE
license_num: 550004286
facility_level_desc: Parent Facility
dba_address1: 3888 Pacific Ave
dba_city: Stockton
dba_zip_code: 95204
county_code: 39
county_name: San Joaquin
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2018-02-07
license_type_desc: Long Term Care Facility
license_category_desc: Hospice Facility
latitude: 37.98333000
longitude: -121.30924000
licensed_facility_listing_08 1 oshpd_id: 206394067
facility_name: HOSPICE OF SAN JOAQUIN HOSPICE HOUSE
license_num: 550004286
facility_level_desc: Parent Facility
dba_address1: 3888 Pacific Ave
dba_city: Stockton
dba_zip_code: 95204
county_code: 39
county_name: San Joaquin
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2018-02-07
license_type_desc: Long Term Care Facility
license_category_desc: Hospice Facility
latitude: 37.98333000
longitude: -121.30924000
licensed_facility_listing_09 1 oshpd_id: 206394067
facility_name: HOSPICE OF SAN JOAQUIN HOSPICE HOUSE
license_num: 550004286
facility_level_desc: Parent Facility
dba_address1: 3888 Pacific Ave
dba_city: Stockton
dba_zip_code: 95204
county_code: 39
county_name: San Joaquin
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2018-02-07
license_type_desc: Long Term Care Facility
license_category_desc: Hospice Facility
latitude: 37.98389820
longitude: -121.30858760
licensed_facility_listing_10 1 oshpd_id: 206394067
facility_name: HOSPICE OF SAN JOAQUIN HOSPICE HOUSE
license_num: 550004286
facility_level_desc: Parent Facility
dba_address1: 3888 PACIFIC AVE
dba_city: STOCKTON
dba_zip_code: 95204
county_code: 39
county_name: San Joaquin
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2018-02-07
license_type_desc: Long Term Care Facility
license_category_desc: Hospice Facility
latitude: 37.98389820
longitude: -121.30858760
licensed_facility_listing_11 1 oshpd_id: 206394067
facility_name: HOSPICE OF SAN JOAQUIN RESIDENTIAL LIVING CENTER
license_num: 100000779
facility_level_desc: Parent Facility
dba_address1: 3888 PACIFIC AVENUE
dba_city: STOCKTON
dba_zip_code: 95204
county_code: 39
county_name: SAN JOAQUIN
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2004-09-03
license_type_desc: Long Term Care Facility
license_category_desc: Congregate Living Health Facility
latitude: 37.98406000
longitude: -121.30951000
licensed_facility_listing_12 1 oshpd_id: 206394067
facility_name: HOSPICE OF SAN JOAQUIN RESIDENTIAL LIVING CENTER
license_num: 100000779
facility_level_desc: Parent Facility
dba_address1: 3888 PACIFIC AVENUE
dba_city: STOCKTON
dba_zip_code: 95204
county_code: 39
county_name: SAN JOAQUIN
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2004-09-03
license_type_desc: Long Term Care Facility
license_category_desc: Congregate Living Health Facility
latitude: 37.98406000
longitude: -121.30951000
licensed_facility_listing_13 1 oshpd_id: 206394067
facility_name: HOSPICE OF SAN JOAQUIN HOSPICE HOUSE
license_num: 550004286
facility_level_desc: Parent Facility
dba_address1: 3888 PACIFIC AVENUE, BUILDING B
dba_city: STOCKTON
dba_zip_code: 95204
county_code: 39
county_name: SAN JOAQUIN
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2018-02-07
license_type_desc: Hospice Facility
license_category_desc: Hospice Facility
latitude: 37.98355000
longitude: -121.30935000
licensed_facility_listing_14 1 oshpd_id: 206394067
facility_name: HOSPICE OF SAN JOAQUIN HOSPICE HOUSE
license_num: 550004286
facility_level_desc: Parent Facility
dba_address1: 3888 Pacific Ave
dba_city: Stockton
dba_zip_code: 95204
county_code: 39
county_name: San Joaquin
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2018-02-07
license_type_desc: Hospice Facility
license_category_desc: Hospice Facility
latitude: 37.98333000
longitude: -121.30924000
licensed_facility_listing_15 1 oshpd_id: 206394067
facility_name: HOSPICE OF SAN JOAQUIN HOSPICE HOUSE
license_num: 550004286
facility_level_desc: Parent Facility
dba_address1: 3888 Pacific Ave
dba_city: Stockton
dba_zip_code: 95204
county_code: 39
county_name: San Joaquin
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2018-02-07
license_type_desc: Long Term Care Facility
license_category_desc: Hospice Facility
latitude: 37.98333000
longitude: -121.30924000
licensed_facility_listing_16 1 oshpd_id: 206394067
facility_name: HOSPICE OF SAN JOAQUIN HOSPICE HOUSE
license_num: 550004286
facility_level_desc: Parent Facility
dba_address1: 3888 Pacific Ave
dba_city: Stockton
dba_zip_code: 95204
county_code: 39
county_name: San Joaquin
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2018-02-07
license_type_desc: Long Term Care Facility
license_category_desc: Hospice Facility
latitude: 37.98333000
longitude: -121.30924000
licensed_facility_listing_17 1 oshpd_id: 206394067
facility_name: HOSPICE OF SAN JOAQUIN HOSPICE HOUSE
license_num: 550004286
facility_level_desc: Parent Facility
dba_address1: 3888 Pacific Ave
dba_city: Stockton
dba_zip_code: 95204
county_code: 39
county_name: San Joaquin
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2018-02-07
license_type_desc: Long Term Care Facility
license_category_desc: Hospice Facility
latitude: 37.98333000
longitude: -121.30924000
licensed_facility_listing_18 1 oshpd_id: 206394067
facility_name: HOSPICE OF SAN JOAQUIN HOSPICE HOUSE
license_num: 550004286
facility_level_desc: Parent Facility
dba_address1: 3888 PACIFIC AVE
dba_city: STOCKTON
dba_zip_code: 95204
county_code: 39
county_name: San Joaquin
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2018-02-07
license_type_desc: Long Term Care Facility
license_category_desc: Hospice Facility
latitude: 0.00000000
longitude: 0.00000000
licensed_healthcare_facility_listing 15 period: current
oshpd_id: 206394067
facility_name: HOSPICE OF SAN JOAQUIN HOSPICE HOUSE
license_num: 550004286
facility_level_desc: Parent Facility
dba_address1: 3888 PACIFIC AVE
dba_city: STOCKTON
dba_zip_code: 95204
county_code: 39
county_name: San Joaquin
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2018-02-07
license_type_desc: Long Term Care Facility
license_category_desc: Hospice Facility
latitude: 37.98389820
longitude: -121.30858760
period: 2016-12-31
oshpd_id: 206394067
facility_name: HOSPICE OF SAN JOAQUIN RESIDENTIAL LIVING CENTER
license_num: 100000779
facility_level_desc: Parent Facility
dba_address1: 3888 PACIFIC AVENUE
dba_city: STOCKTON
dba_zip_code: 95204
county_code: 39
county_name: SAN JOAQUIN
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2004-09-03
license_type_desc: Long Term Care Facility
license_category_desc: Congregate Living Health Facility
latitude: 37.98406000
longitude: -121.30951000
period: 2017-12-31
oshpd_id: 206394067
facility_name: HOSPICE OF SAN JOAQUIN RESIDENTIAL LIVING CENTER
license_num: 100000779
facility_level_desc: Parent Facility
dba_address1: 3888 PACIFIC AVENUE
dba_city: STOCKTON
dba_zip_code: 95204
county_code: 39
county_name: SAN JOAQUIN
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2004-09-03
license_type_desc: Long Term Care Facility
license_category_desc: Congregate Living Health Facility
latitude: 37.98406000
longitude: -121.30951000
period: 2018-12-31
oshpd_id: 206394067
facility_name: HOSPICE OF SAN JOAQUIN RESIDENTIAL LIVING CENTER
license_num: 100000779
facility_level_desc: Parent Facility
dba_address1: 3888 PACIFIC AVENUE
dba_city: STOCKTON
dba_zip_code: 95204
county_code: 39
county_name: SAN JOAQUIN
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2004-09-03
license_type_desc: Long Term Care Facility
license_category_desc: Congregate Living Health Facility
latitude: 37.98406000
longitude: -121.30951000
period: 2019-12-31
oshpd_id: 206394067
facility_name: HOSPICE OF SAN JOAQUIN HOSPICE HOUSE
license_num: 550004286
facility_level_desc: Parent Facility
dba_address1: 3888 PACIFIC AVENUE, BUILDING B
dba_city: STOCKTON
dba_zip_code: 95204
county_code: 39
county_name: SAN JOAQUIN
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2018-02-07
license_type_desc: Hospice Facility
license_category_desc: Hospice Facility
latitude: 37.98355000
longitude: -121.30935000
period: 2020-12-31
oshpd_id: 206394067
facility_name: HOSPICE OF SAN JOAQUIN HOSPICE HOUSE
license_num: 550004286
facility_level_desc: Parent Facility
dba_address1: 3888 Pacific Ave
dba_city: Stockton
dba_zip_code: 95204
county_code: 39
county_name: San Joaquin
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2018-02-07
license_type_desc: Hospice Facility
license_category_desc: Hospice Facility
latitude: 37.98333000
longitude: -121.30924000
period: 2021-12-31
oshpd_id: 206394067
facility_name: HOSPICE OF SAN JOAQUIN HOSPICE HOUSE
license_num: 550004286
facility_level_desc: Parent Facility
dba_address1: 3888 Pacific Ave
dba_city: Stockton
dba_zip_code: 95204
county_code: 39
county_name: San Joaquin
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2018-02-07
license_type_desc: Long Term Care Facility
license_category_desc: Hospice Facility
latitude: 37.98333000
longitude: -121.30924000
period: 2022-12-31
oshpd_id: 206394067
facility_name: HOSPICE OF SAN JOAQUIN HOSPICE HOUSE
license_num: 550004286
facility_level_desc: Parent Facility
dba_address1: 3888 Pacific Ave
dba_city: Stockton
dba_zip_code: 95204
county_code: 39
county_name: San Joaquin
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2018-02-07
license_type_desc: Long Term Care Facility
license_category_desc: Hospice Facility
latitude: 37.98333000
longitude: -121.30924000
period: 2017-06-30
oshpd_id: 206394067
facility_name: HOSPICE OF SAN JOAQUIN RESIDENTIAL LIVING CENTER
license_num: 100000779
facility_level_desc: Parent Facility
dba_address1: 3888 PACIFIC AVENUE
dba_city: STOCKTON
dba_zip_code: 95204
county_code: 39
county_name: SAN JOAQUIN
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2004-09-03
license_type_desc: Long Term Care Facility
license_category_desc: Congregate Living Health Facility
latitude: 37.98406000
longitude: -121.30951000
period: 2018-06-30
oshpd_id: 206394067
facility_name: HOSPICE OF SAN JOAQUIN RESIDENTIAL LIVING CENTER
license_num: 100000779
facility_level_desc: Parent Facility
dba_address1: 3888 PACIFIC AVENUE
dba_city: STOCKTON
dba_zip_code: 95204
county_code: 39
county_name: SAN JOAQUIN
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2004-09-03
license_type_desc: Long Term Care Facility
license_category_desc: Congregate Living Health Facility
latitude: 37.98406000
longitude: -121.30951000
period: 2019-06-30
oshpd_id: 206394067
facility_name: HOSPICE OF SAN JOAQUIN HOSPICE HOUSE
license_num: 550004286
facility_level_desc: Parent Facility
dba_address1: 3888 PACIFIC AVENUE, BUILDING B
dba_city: STOCKTON
dba_zip_code: 95204
county_code: 39
county_name: SAN JOAQUIN
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2018-02-07
license_type_desc: Hospice Facility
license_category_desc: Hospice Facility
latitude: 37.98355000
longitude: -121.30935000
period: 2020-06-30
oshpd_id: 206394067
facility_name: HOSPICE OF SAN JOAQUIN HOSPICE HOUSE
license_num: 550004286
facility_level_desc: Parent Facility
dba_address1: 3888 Pacific Ave
dba_city: Stockton
dba_zip_code: 95204
county_code: 39
county_name: San Joaquin
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2018-02-07
license_type_desc: Hospice Facility
license_category_desc: Hospice Facility
latitude: 37.98333000
longitude: -121.30924000
period: 2021-06-30
oshpd_id: 206394067
facility_name: HOSPICE OF SAN JOAQUIN HOSPICE HOUSE
license_num: 550004286
facility_level_desc: Parent Facility
dba_address1: 3888 Pacific Ave
dba_city: Stockton
dba_zip_code: 95204
county_code: 39
county_name: San Joaquin
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2018-02-07
license_type_desc: Long Term Care Facility
license_category_desc: Hospice Facility
latitude: 37.98333000
longitude: -121.30924000
period: 2022-06-30
oshpd_id: 206394067
facility_name: HOSPICE OF SAN JOAQUIN HOSPICE HOUSE
license_num: 550004286
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dba_address1: 3888 Pacific Ave
dba_city: Stockton
dba_zip_code: 95204
county_code: 39
county_name: San Joaquin
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2018-02-07
license_type_desc: Long Term Care Facility
license_category_desc: Hospice Facility
latitude: 37.98333000
longitude: -121.30924000
period: 2023-06-30
oshpd_id: 206394067
facility_name: HOSPICE OF SAN JOAQUIN HOSPICE HOUSE
license_num: 550004286
facility_level_desc: Parent Facility
dba_address1: 3888 Pacific Ave
dba_city: Stockton
dba_zip_code: 95204
county_code: 39
county_name: San Joaquin
er_service_level_desc: Not Applicable
total_number_beds: 6
facility_status_desc: Open
facility_status_date: 2018-02-07
license_type_desc: Long Term Care Facility
license_category_desc: Hospice Facility
latitude: 37.98333000
longitude: -121.30924000
long_term_care_facilities_utilization_data_2012 1 oshpd_id: 206394067
fac_name: Hospice House of Hospice of San Joaquin
fac_address_one: 3888 Pacific Avenue
fac_address_two: None
fac_city: Stockton
fac_zipcode: 95204
fac_phone: 209-957-3888
fac_admin_name: Stephen L Guasco
fac_oper_curryr: Yes
beg_date: 2012-01-01 00:00:00
end_date: 2012-12-31 00:00:00
parent_name: None
parent_address_one: None
parent_address_two: None
parent_city: None
parent_state: None
parent_zip_9: None
report_prep_name: Kerrie Biddle
lic_status: Open
lic_status_date: 2004-09-03 00:00:00
lic_orig_date: None
report_status: None
mcal_provider_no: None
mcare_provider_no: None
aclaims_no: None
assembly_dist: 26
senate_dist: 5
congress_dist: 11
cens_tract: 6077001400
med_svc_study_area: 169a
laco_svc_plan_area: None
health_svc_area: 06 - North San Joaquin
county: San Joaquin
license_no: 100000779
longitude: -121.30951
latitude: 37.98406
type_lic: Congregate Living Health Facility
type_cntrl: Non-Profit Corporation (incl. Church-related)
cert_mcar_sn: None
cert_mcal_sn: None
cert_mcal_sn_md: None
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long_term_care_facilities_utilization_data_2012_sec_5 1 oshpd_id: 206394067
fac_name: Hospice House of Hospice of San Joaquin
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equip_09_acqui_means: None
equip_10_descrip: None
equip_10_value: None
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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
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long_term_care_faclts_util_data_2013 1 oshpd_id: 206394067
fac_name: Hospice House of Hospice of San Joaquin
fac_address_one: 3888 Pacific Avenue
fac_address_two: None
fac_city: Stockton
fac_zipcode: 95204
fac_phone: 209-957-3888
fac_admin_name: Stephen L Guasco
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beg_date: 2013-01-01 00:00:00
end_date: 2013-12-31 00:00:00
parent_name: None
parent_address_one: None
parent_address_two: None
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parent_state: None
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report_prep_name: Kerrie Biddle
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lic_orig_date: None
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congress_dist: 9
cens_tract: 6077001400
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laco_svc_plan_area: None
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county: San Joaquin
license_no: 100000779
longitude: -121.30951
latitude: 37.98406
type_lic: Congregate Living Health Facility
type_cntrl: Non-Profit Corporation (incl. Church-related)
cert_mcar_sn: None
cert_mcal_sn: None
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long_term_care_faclts_util_data_2013_sec_5 1 oshpd_id: 206394067
fac_name: Hospice House of Hospice of San Joaquin
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equip_10_descrip: None
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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
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long_term_care_faclts_util_data_2014 1 oshpd_id: 206394067
fac_name: HOSPICE HOUSE OF HOSPICE OF SAN JOAQUIN
fac_address_one: 3888 Pacific Avenue
fac_address_two: None
fac_city: Stockton
fac_zipcode: 95204
fac_phone: 209-957-3888
fac_admin_name: Rebecca Burnett, RN
fac_oper_curryr: Yes
beg_date: 2014-01-01 00:00:00
end_date: 2014-12-31 00:00:00
parent_name: None
parent_address_one: None
parent_address_two: None
parent_city: None
parent_state: None
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report_prep_name: Kerrie Biddle
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lic_status_date: 2004-09-03 00:00:00
lic_orig_date: None
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aclaims_no: None
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congress_dist: 9
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county: San Joaquin
license_no: 100000779
longitude: -121.308809
latitude: 37.982617
type_lic: Congregate Living Health Facility
type_cntrl: Non-Profit Corporation (incl. Church-related)
cert_mcar_sn: None
cert_mcal_sn: None
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long_term_care_faclts_util_data_2014_sec_5 1 oshpd_id: 206394067
fac_name: HOSPICE HOUSE OF HOSPICE OF SAN JOAQUIN
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proj_01_projtd_cap_exp: None
proj_01_oshpd_proj_no: None
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proj_02_projtd_cap_exp: None
proj_02_oshpd_proj_no: None
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long_term_care_faclts_util_data_2015 1 oshpd_id: 206394067
fac_name: HOSPICE OF SAN JOAQUIN RESIDENTIAL LIVING CENTER
fac_address_one: 3888 Pacific Avenue
fac_address_two: None
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fac_zipcode: 95204
fac_phone: 209-957-3888
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beg_date: 2015-01-01 00:00:00
end_date: 2015-12-31 00:00:00
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license_no: 100000779
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type_lic: Congregate Living Health Facility
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cert_mcar_sn: None
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long_term_care_faclts_util_data_2015_sec_5 1 oshpd_id: 206394067
fac_name: HOSPICE OF SAN JOAQUIN RESIDENTIAL LIVING CENTER
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long_term_care_faclts_util_data_oct_2018_for_2017 1 oshpd_id: 206394067
fac_name: HOSPICE OF SAN JOAQUIN RESIDENTIAL LIVING CENTER
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type_lic: Congregate Living Health Facility
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long_term_care_faclts_util_data_oct_2018_for_2017_sec5 1 oshpd_id: 206394067
fac_name: HOSPICE OF SAN JOAQUIN RESIDENTIAL LIVING CENTER
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long_term_care_faclts_util_data_updated_2016 1 oshpd_id: 206394067
fac_name: HOSPICE OF SAN JOAQUIN RESIDENTIAL LIVING CENTER
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beg_date: 2016-01-01 00:00:00
end_date: 2016-12-31 00:00:00
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license_no: 100000779
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type_lic: Congregate Living Health Facility
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cert_mcar_sn: None
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long_term_care_faclts_util_data_updated_2016_sec_5 1 oshpd_id: 206394067
fac_name: HOSPICE OF SAN JOAQUIN RESIDENTIAL LIVING CENTER
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pivot_table_long_term_care_faclts_util_data_2016 1 oshpd_id: 206394067
fac_name: HOSPICE OF SAN JOAQUIN RESIDENTIAL LIVING CENTER
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beg_date: 2016-01-01 00:00:00
end_date: 2016-12-31 00:00:00
lic_status: Open
assembly_dist: 13
senate_dist: 5
congress_dist: 9
cens_tract: 6077001400
laco_svc_plan_area: None
health_svc_area: 06 - North San Joaquin
county: San Joaquin
license_no: 100000779
longitude: -121.30951
latitude: 37.98406
type_lic: Congregate Living Health Facility
type_cntrl: Non-Profit Corporation (incl. Church-related)
cert_mcar_sn: NO
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: 2
hofa_ltc_cens_py: 0
ltc_cens_py_totl: 2
sn_gen_ltc_adm: 0
sn_md_ltc_adm: 0
ic_gen_ltc_adm: 0
ic_dd_ltc_adm: 0
cl_ltc_adm: 131
hofa_ltc_adm: 0
ltc_adm_totl: 131
sn_gen_ltc_dis: 0
sn_md_ltc_dis: 0
ic_gen_ltc_dis: 0
ic_dd_ltc_dis: 0
cl_ltc_dis: 130
hofa_ltc_dis: 0
ltc_dis_totl: 130
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_2017 1 oshpd_id: 206394067
fac_name: HOSPICE OF SAN JOAQUIN RESIDENTIAL LIVING CENTER
fac_address_one: 3888 Pacific Avenue
fac_city: Stockton
fac_zipcode: 95204
fac_oper_curryr: Yes
beg_date: 2017-01-01 00:00:00
end_date: 2017-12-31 00:00:00
lic_status: Open
assembly_dist: 13
senate_dist: 5
congress_dist: 9
cens_tract: 6077001400
laco_svc_plan_area: None
health_svc_area: 06 - North San Joaquin
county: San Joaquin
license_no: 100000779
longitude: -121.30951
latitude: 37.98406
type_lic: Congregate Living Health Facility
type_cntrl: Non-Profit Corporation (incl. Church-related)
cert_mcar_sn: NO
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: 3
hofa_ltc_cens_py: 0
ltc_cens_py_totl: 3
sn_gen_ltc_adm: 0
sn_md_ltc_adm: 0
ic_gen_ltc_adm: 0
ic_dd_ltc_adm: 0
cl_ltc_adm: 126
hofa_ltc_adm: 0
ltc_adm_totl: 126
sn_gen_ltc_dis: 0
sn_md_ltc_dis: 0
ic_gen_ltc_dis: 0
ic_dd_ltc_dis: 0
cl_ltc_dis: 127
hofa_ltc_dis: 0
ltc_dis_totl: 127
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: 206394067
fac_no: 206394067
fac_name: HOSPICE OF SAN JOAQUIN RESIDENTIAL LIVING CENTER
fac_str_addr: 3888 Pacific Avenue
fac_city: Stockton
fac_zip: 95204
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: 550004286
license_status: Open
facility_level: Parent Facility
longitude: -121.30935
latitude: 37.98355
assembly_dist: District 13
senate_dist: District 05
congress_dist: District 09
cens_tract: 06077001400
la_county_svc_plan_area: None
health_svc_area: 06 - North San Joaquin
county: San Joaquin
lic_cat: Congregate Living Health Facility
licee_toc: Non-Profit Corporation (including church-related)
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: 97
pats_adm_from_hsp: 89
pats_adm_from_state_hsp: None
pats_adm_from_other_ltc: None
pats_adm_from_res_board_and_care: 1
pats_adm_from_other: 6
tot_pats_adm: 193
medicare_pats: None
medi_cal_pats: None
managed_care_pats: None
private_insurance_pats: None
self_pay_pats: 2
all_other_pats: None
tot_pats: 2
dsch_lt_2_wks: 152
dsch_2_wks_and_lt_1_month: 22
dsch_1_month_and_lt_3_months: 12
dsch_3_months_and_lt_7_months: 2
pivot_table_long_term_care_faclts_util_data_2019 1 oshpd_id: 206394067
fac_no: 206394067
fac_name: HOSPICE OF SAN JOAQUIN HOSPICE HOUSE
fac_str_addr: 3888 Pacific Avenue, Building B
fac_city: Stockton
fac_zip: 95204
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: 550004286
license_status: Open
facility_level: Parent Facility
longitude: -121.30935
latitude: 37.98355
assembly_dist: District 13
senate_dist: District 5
congress_dist: Oakland -- District 9
cens_tract: 06077001400
la_county_svc_plan_area: None
health_svc_area: 06 - North San Joaquin
county: San Joaquin
lic_cat: Hospice Facility
licee_toc: Non-Profit Corporation (including church-related)
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: 148
pats_adm_from_hsp: 97
pats_adm_from_state_hsp: None
pats_adm_from_other_ltc: None
pats_adm_from_res_board_and_care: None
pats_adm_from_other: 18
tot_pats_adm: 263
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: 208
dsch_2_wks_and_lt_1_month: 22
dsch_1_month_and_lt_3_months: 16
dsch_3_months_and_lt_7_months: 9
pivot_table_long_term_care_faclts_util_data_2020 1 oshpd_id: 206394067
fac_no: 206394067
fac_name: HOSPICE OF SAN JOAQUIN HOSPICE HOUSE
fac_str_addr: 3888 PACIFIC AVE, BUILDING B
fac_city: STOCKTON
fac_zip: 95204
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: 550004286
license_status: Open
facility_level: Parent Facility
longitude: -121.30924
latitude: 37.98333
assembly_dist: District 13
senate_dist: District 5
congress_dist: District 9
cens_tract: 06077001400
la_county_svc_plan_area: None
health_svc_area: 06 - North San Joaquin
county: San Joaquin
lic_cat: Hospice Facility
licee_toc: Non-Profit Corporation (including church-related)
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: 105
pats_adm_from_hsp: 65
pats_adm_from_state_hsp: None
pats_adm_from_other_ltc: None
pats_adm_from_res_board_and_care: 3
pats_adm_from_other: 14
tot_pats_adm: 187
medicare_pats: 1
medi_cal_pats: None
managed_care_pats: 1
private_insurance_pats: None
self_pay_pats: None
all_other_pats: None
tot_pats: 2
dsch_lt_2_wks: 174
dsch_2_wks_and_lt_1_month: 12
dsch_1_month_and_lt_3_months: 3
dsch_3_months_and_lt_7_months: 0
pivot_table_long_term_care_faclts_util_data_2021 1 oshpd_id: 206394067
fac_no: 206394067
fac_name: HOSPICE OF SAN JOAQUIN HOSPICE HOUSE
fac_str_addr: 3888 PACIFIC AVE, BUILDING B
fac_city: STOCKTON
fac_zip: 95204
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: 550004286
license_status: Open
facility_level: Parent Facility
longitude: -121.308588
latitude: 37.983898
assembly_dist: District 13
senate_dist: District 5
congress_dist: District 9
cens_tract: 06077001400
la_county_svc_plan_area: None
health_svc_area: 06 - North San Joaquin
county: San Joaquin
lic_cat: Hospice Facility
licee_toc: Non-Profit Corporation (including church-related)
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: 141
pats_adm_from_hsp: 17
pats_adm_from_state_hsp: None
pats_adm_from_other_ltc: None
pats_adm_from_res_board_and_care: 2
pats_adm_from_other: 50
tot_pats_adm: 210
medicare_pats: 2
medi_cal_pats: None
managed_care_pats: None
private_insurance_pats: None
self_pay_pats: None
all_other_pats: None
tot_pats: 2
dsch_lt_2_wks: 169
dsch_2_wks_and_lt_1_month: 21
dsch_1_month_and_lt_3_months: 20
dsch_3_months_and_lt_7_months: 0
pivot_table_long_term_care_faclts_util_data_2022 1 oshpd_id: 206394067
fac_no: 206394067
fac_name: HOSPICE OF SAN JOAQUIN HOSPICE HOUSE
fac_str_addr: 3888 PACIFIC AVE, BUILDING B
fac_city: STOCKTON
fac_zip: 95204
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: 550004286
license_status: Open
facility_level: Parent Facility
longitude: -121.308588
latitude: 37.983898
assembly_dist: District 13
senate_dist: District 5
congress_dist: District 9
census_key: 06077001400
la_county_svc_plan_area: None
health_svc_area: 06 - North San Joaquin
county: San Joaquin
lic_cat: Hospice Facility
licee_toc: Non-Profit Corporation (including church-related)
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: 117
pats_adm_from_hsp: 63
pats_adm_from_other_ltc: 2
pats_adm_from_res_board_and_care: 0
pats_adm_from_other: 2
tot_pats_adm: 184
medicare_pats: 1
medi_cal_pats: None
managed_care_pats: 1
private_insurance_pats: None
self_pay_pats: None
all_other_pats: None
tot_pats: 2
dsch_lt_2_wks: 151
dsch_2_wks_and_lt_1_month: 17
dsch_1_month_and_lt_3_months: 16
dsch_3_months_and_lt_7_months: None
dsch_7_months_and_lt_1_yr: None