Table # Values
licensed_facility_listing_02 1 oshpd_id: 206410821
facility_name: MILLBRAE SERRA CONVALESCENT HOSPITAL
license_num: 220000028
facility_level_desc: Parent Facility
dba_address1: 150 SERRA AVENUE
dba_city: MILLBRAE
dba_zip_code: 94030
county_code: 41
county_name: SAN MATEO
er_service_level_desc: Not Applicable
total_number_beds: 125
facility_status_desc: Suspense
facility_status_date: 08/25/2011
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
longitude: -122.38802
latitude: 37.60008

licensed_facility_listing_03 1 oshpd_id: 206410821
facility_name: MILLBRAE SERRA CONVALESCENT HOSPITAL
license_num: 220000028
facility_level_desc: Parent Facility
dba_address1: 150 SERRA AVENUE
dba_city: MILLBRAE
dba_zip_code: 94030
county_code: 41
county_name: SAN MATEO
er_service_level_desc: Not Applicable
total_number_beds: 125
facility_status_desc: Suspense
facility_status_date: 8/25/2011
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.60008
longitude: -122.38802

licensed_facility_listing_04 1 oshpd_id: 206410821
facility_name: MILLBRAE SERRA CONVALESCENT HOSPITAL
license_num: 220000028
facility_level_desc: Parent Facility
dba_address1: 150 SERRA AVENUE
dba_city: MILLBRAE
dba_zip_code: 94030
county_code: 41
county_name: SAN MATEO
er_service_level_desc: Not Applicable
total_number_beds: 125
facility_status_desc: Suspense
facility_status_date: 2011-08-25
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.60008000
longitude: -122.38802000

licensed_facility_listing_05 1 oshpd_id: 206410821
facility_name: MILLBRAE SERRA CONVALESCENT HOSPITAL
license_num: 220000028
facility_level_desc: Parent Facility
dba_address1: 150 SERRA AVENUE
dba_city: MILLBRAE
dba_zip_code: 94030
county_code: 41
county_name: SAN MATEO
er_service_level_desc: Not Applicable
total_number_beds: 125
facility_status_desc: Suspense
facility_status_date: 2011-08-25
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.60008000
longitude: -122.38802000

licensed_facility_listing_11 1 oshpd_id: 206410821
facility_name: MILLBRAE SERRA CONVALESCENT HOSPITAL
license_num: 220000028
facility_level_desc: Parent Facility
dba_address1: 150 SERRA AVENUE
dba_city: MILLBRAE
dba_zip_code: 94030
county_code: 41
county_name: SAN MATEO
er_service_level_desc: Not Applicable
total_number_beds: 125
facility_status_desc: Suspense
facility_status_date: 2011-08-25
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.60008000
longitude: -122.38802000

licensed_facility_listing_12 1 oshpd_id: 206410821
facility_name: MILLBRAE SERRA CONVALESCENT HOSPITAL
license_num: 220000028
facility_level_desc: Parent Facility
dba_address1: 150 SERRA AVENUE
dba_city: MILLBRAE
dba_zip_code: 94030
county_code: 41
county_name: SAN MATEO
er_service_level_desc: Not Applicable
total_number_beds: 125
facility_status_desc: Suspense
facility_status_date: 2011-08-25
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.60008000
longitude: -122.38802000

licensed_facility_listing_13 1 oshpd_id: 206410821
facility_name: MILLBRAE SERRA CONVALESCENT HOSPITAL
license_num: 220000028
facility_level_desc: Parent Facility
dba_address1: 150 SERRA AVENUE
dba_city: MILLBRAE
dba_zip_code: 94030
county_code: 41
county_name: SAN MATEO
er_service_level_desc: Not Applicable
total_number_beds: 125
facility_status_desc: Suspense
facility_status_date: 2011-08-25
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.60008000
longitude: -122.38802000

licensed_facility_listing_14 1 oshpd_id: 206410821
facility_name: MILLBRAE SERRA CONVALESCENT HOSPITAL
license_num: 220000028
facility_level_desc: Parent Facility
dba_address1: 150 SERRA AVE
dba_city: MILLBRAE
dba_zip_code: 94030
county_code: 41
county_name: San Mateo
er_service_level_desc: Not Applicable
total_number_beds: 125
facility_status_desc: Suspense
facility_status_date: 2011-08-25
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.60008000
longitude: -122.38802000

licensed_healthcare_facility_listing 8 period: 2016-12-31
oshpd_id: 206410821
facility_name: MILLBRAE SERRA CONVALESCENT HOSPITAL
license_num: 220000028
facility_level_desc: Parent Facility
dba_address1: 150 SERRA AVENUE
dba_city: MILLBRAE
dba_zip_code: 94030
county_code: 41
county_name: SAN MATEO
er_service_level_desc: Not Applicable
total_number_beds: 125
facility_status_desc: Suspense
facility_status_date: 2011-08-25
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.60008000
longitude: -122.38802000

period: 2017-12-31
oshpd_id: 206410821
facility_name: MILLBRAE SERRA CONVALESCENT HOSPITAL
license_num: 220000028
facility_level_desc: Parent Facility
dba_address1: 150 SERRA AVENUE
dba_city: MILLBRAE
dba_zip_code: 94030
county_code: 41
county_name: SAN MATEO
er_service_level_desc: Not Applicable
total_number_beds: 125
facility_status_desc: Suspense
facility_status_date: 2011-08-25
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.60008000
longitude: -122.38802000

period: 2018-12-31
oshpd_id: 206410821
facility_name: MILLBRAE SERRA CONVALESCENT HOSPITAL
license_num: 220000028
facility_level_desc: Parent Facility
dba_address1: 150 SERRA AVENUE
dba_city: MILLBRAE
dba_zip_code: 94030
county_code: 41
county_name: SAN MATEO
er_service_level_desc: Not Applicable
total_number_beds: 125
facility_status_desc: Suspense
facility_status_date: 2011-08-25
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.60008000
longitude: -122.38802000

period: 2019-12-31
oshpd_id: 206410821
facility_name: MILLBRAE SERRA CONVALESCENT HOSPITAL
license_num: 220000028
facility_level_desc: Parent Facility
dba_address1: 150 SERRA AVENUE
dba_city: MILLBRAE
dba_zip_code: 94030
county_code: 41
county_name: SAN MATEO
er_service_level_desc: Not Applicable
total_number_beds: 125
facility_status_desc: Suspense
facility_status_date: 2011-08-25
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.60008000
longitude: -122.38802000

period: 2017-06-30
oshpd_id: 206410821
facility_name: MILLBRAE SERRA CONVALESCENT HOSPITAL
license_num: 220000028
facility_level_desc: Parent Facility
dba_address1: 150 SERRA AVENUE
dba_city: MILLBRAE
dba_zip_code: 94030
county_code: 41
county_name: SAN MATEO
er_service_level_desc: Not Applicable
total_number_beds: 125
facility_status_desc: Suspense
facility_status_date: 2011-08-25
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.60008000
longitude: -122.38802000

period: 2018-06-30
oshpd_id: 206410821
facility_name: MILLBRAE SERRA CONVALESCENT HOSPITAL
license_num: 220000028
facility_level_desc: Parent Facility
dba_address1: 150 SERRA AVENUE
dba_city: MILLBRAE
dba_zip_code: 94030
county_code: 41
county_name: SAN MATEO
er_service_level_desc: Not Applicable
total_number_beds: 125
facility_status_desc: Suspense
facility_status_date: 2011-08-25
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.60008000
longitude: -122.38802000

period: 2019-06-30
oshpd_id: 206410821
facility_name: MILLBRAE SERRA CONVALESCENT HOSPITAL
license_num: 220000028
facility_level_desc: Parent Facility
dba_address1: 150 SERRA AVENUE
dba_city: MILLBRAE
dba_zip_code: 94030
county_code: 41
county_name: SAN MATEO
er_service_level_desc: Not Applicable
total_number_beds: 125
facility_status_desc: Suspense
facility_status_date: 2011-08-25
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.60008000
longitude: -122.38802000

period: 2020-06-30
oshpd_id: 206410821
facility_name: MILLBRAE SERRA CONVALESCENT HOSPITAL
license_num: 220000028
facility_level_desc: Parent Facility
dba_address1: 150 SERRA AVE
dba_city: MILLBRAE
dba_zip_code: 94030
county_code: 41
county_name: San Mateo
er_service_level_desc: Not Applicable
total_number_beds: 125
facility_status_desc: Suspense
facility_status_date: 2011-08-25
license_type_desc: Long Term Care Facility
license_category_desc: Skilled Nursing Facility
latitude: 37.60008000
longitude: -122.38802000

long_term_care_facilities_utilization_data_2012 1 oshpd_id: 206410821
fac_name: MILLBRAE SERRA CONVALESCENT HOSPITAL
fac_address_one: 150 SERRA AVENUE
fac_address_two: None
fac_city: MILLBRAE
fac_zipcode: 94030
fac_phone: None
fac_admin_name: None
fac_oper_curryr: No
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: Lola Borrego
lic_status: Suspense
lic_status_date: 2011-08-25 00:00:00
lic_orig_date: 1946-01-01 00:00:00
report_status: None
mcal_provider_no: None
mcare_provider_no: None
aclaims_no: 220000071
assembly_dist: 19
senate_dist: 8
congress_dist: 12
cens_tract: 6081604400
med_svc_study_area: 176a
laco_svc_plan_area: None
health_svc_area: 04 - West Bay
county: San Mateo
license_no: 220000028
longitude: -122.38802
latitude: 37.60008
type_lic: Skilled Nursing Facility
type_cntrl: 0
cert_mcar_sn: None
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
ltc_cens_py_totl: 0
sn_gen_ltc_adm: 0
sn_md_ltc_adm: 0

long_term_care_facilities_utilization_data_2012_sec_5 1 oshpd_id: 206410821
fac_name: MILLBRAE SERRA CONVALESCENT HOSPITAL
equip_acq_over_500k: None
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: None
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

long_term_care_faclts_util_data_2013 1 oshpd_id: 206410821
fac_name: MILLBRAE SERRA CONVALESCENT HOSPITAL
fac_address_one: 150 SERRA AVENUE
fac_address_two: None
fac_city: MILLBRAE
fac_zipcode: 94030
fac_phone: 650-697-7000
fac_admin_name: Lola Borrego
fac_oper_curryr: No
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
parent_city: None
parent_state: None
parent_zip_9: None
report_prep_name: Lola Borrego
lic_status: Suspense
lic_status_date: 2011-08-25 00:00:00
lic_orig_date: 1946-01-01 00:00:00
report_status: None
mcal_provider_no: None
mcare_provider_no: None
aclaims_no: 220000071
assembly_dist: 22
senate_dist: 13
congress_dist: 14
cens_tract: 6081604400
med_svc_study_area: 176a
laco_svc_plan_area: None
health_svc_area: 04 - West Bay
county: San Mateo
license_no: 220000028
longitude: -122.38802
latitude: 37.60008
type_lic: Skilled Nursing Facility
type_cntrl: 0
cert_mcar_sn: None
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
ltc_cens_py_totl: 0
sn_gen_ltc_adm: 0
sn_md_ltc_adm: 0

long_term_care_faclts_util_data_2013_sec_5 1 oshpd_id: 206410821
fac_name: MILLBRAE SERRA CONVALESCENT HOSPITAL
equip_acq_over_500k: None
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: None
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

long_term_care_faclts_util_data_2014 1 oshpd_id: 206410821
fac_name: MILLBRAE SERRA CONVALESCENT HOSPITAL
fac_address_one: 150 SERRA AVENUE
fac_address_two: None
fac_city: MILLBRAE
fac_zipcode: 94030
fac_phone: 650-697-7000
fac_admin_name: Lola Borrego
fac_oper_curryr: No
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
parent_zip_9: None
report_prep_name: Lola Borrego
lic_status: Suspense
lic_status_date: 2011-08-25 00:00:00
lic_orig_date: 1946-01-01 00:00:00
report_status: None
mcal_provider_no: None
mcare_provider_no: None
aclaims_no: 220000071
assembly_dist: 22
senate_dist: 13
congress_dist: 14
cens_tract: 6081604400
med_svc_study_area: 176a
laco_svc_plan_area: None
health_svc_area: 04 - West Bay
county: San Mateo
license_no: 220000028
longitude: -122.38822
latitude: 37.600153
type_lic: Skilled Nursing Facility
type_cntrl: Investor - Corporation
cert_mcar_sn: None
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_2014_sec_5 1 oshpd_id: 206410821
fac_name: MILLBRAE SERRA CONVALESCENT HOSPITAL
equip_acq_over_500k: None
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: None
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