| Table | # | Values |
|---|---|---|
| licensed_facility_listing_04 | 1 |
oshpd_id: 206560990 facility_name: PREMIERCARE 2 CONGREGATE LIVING, INC. license_num: 550003997 facility_level_desc: Parent Facility dba_address1: 4805 LEEDS STREET dba_city: SIMI VALLEY dba_zip_code: 93063 county_code: 56 county_name: VENTURA er_service_level_desc: Not Applicable total_number_beds: 6 facility_status_desc: Open facility_status_date: 2017-10-30 license_type_desc: Long Term Care Facility license_category_desc: Congregate Living Health Facility latitude: 34.27545000 longitude: -118.69997000 |
| licensed_facility_listing_05 | 1 |
oshpd_id: 206560990 facility_name: PREMIERCARE 2 CONGREGATE LIVING, INC. license_num: 550003997 facility_level_desc: Parent Facility dba_address1: 4805 LEEDS STREET dba_city: SIMI VALLEY dba_zip_code: 93063 county_code: 56 county_name: VENTURA er_service_level_desc: Not Applicable total_number_beds: 6 facility_status_desc: Open facility_status_date: 2017-10-30 license_type_desc: Long Term Care Facility license_category_desc: Congregate Living Health Facility latitude: 34.27545000 longitude: -118.69997000 |
| licensed_facility_listing_06 | 1 |
oshpd_id: 206560990 facility_name: PREMIERCARE 2 CONGREGATE LIVING, INC. license_num: 550003997 facility_level_desc: Parent Facility dba_address1: 4805 Leeds St dba_city: Simi Valley dba_zip_code: 93063 county_code: 56 county_name: Ventura er_service_level_desc: Not Applicable total_number_beds: 6 facility_status_desc: Open facility_status_date: 2017-10-30 license_type_desc: Long Term Care Facility license_category_desc: Congregate Living Health Facility latitude: 34.27545000 longitude: -118.69997000 |
| licensed_facility_listing_07 | 1 |
oshpd_id: 206560990 facility_name: PREMIERCARE 2 CONGREGATE LIVING, INC. license_num: 550003997 facility_level_desc: Parent Facility dba_address1: 4805 Leeds St dba_city: Simi Valley dba_zip_code: 93063 county_code: 56 county_name: Ventura er_service_level_desc: Not Applicable total_number_beds: 6 facility_status_desc: Open facility_status_date: 2017-10-30 license_type_desc: Long Term Care Facility license_category_desc: Congregate Living Health Facility latitude: 34.27545000 longitude: -118.69997000 |
| licensed_facility_listing_12 | 1 |
oshpd_id: 206560990 facility_name: PREMIERCARE 2 CONGREGATE LIVING, INC. license_num: 550003997 facility_level_desc: Parent Facility dba_address1: 4805 LEEDS STREET dba_city: SIMI VALLEY dba_zip_code: 93063 county_code: 56 county_name: VENTURA er_service_level_desc: Not Applicable total_number_beds: 6 facility_status_desc: Open facility_status_date: 2017-10-30 license_type_desc: Long Term Care Facility license_category_desc: Congregate Living Health Facility latitude: 34.27545000 longitude: -118.69997000 |
| licensed_facility_listing_13 | 1 |
oshpd_id: 206560990 facility_name: PREMIERCARE 2 CONGREGATE LIVING, INC. license_num: 550003997 facility_level_desc: Parent Facility dba_address1: 4805 LEEDS STREET dba_city: SIMI VALLEY dba_zip_code: 93063 county_code: 56 county_name: VENTURA er_service_level_desc: Not Applicable total_number_beds: 6 facility_status_desc: Open facility_status_date: 2017-10-30 license_type_desc: Long Term Care Facility license_category_desc: Congregate Living Health Facility latitude: 34.27545000 longitude: -118.69997000 |
| licensed_facility_listing_14 | 1 |
oshpd_id: 206560990 facility_name: PREMIERCARE 2 CONGREGATE LIVING, INC. license_num: 550003997 facility_level_desc: Parent Facility dba_address1: 4805 Leeds St dba_city: Simi Valley dba_zip_code: 93063 county_code: 56 county_name: Ventura er_service_level_desc: Not Applicable total_number_beds: 6 facility_status_desc: Open facility_status_date: 2017-10-30 license_type_desc: Long Term Care Facility license_category_desc: Congregate Living Health Facility latitude: 34.27545000 longitude: -118.69997000 |
| licensed_facility_listing_15 | 1 |
oshpd_id: 206560990 facility_name: PREMIERCARE 2 CONGREGATE LIVING, INC. license_num: 550003997 facility_level_desc: Parent Facility dba_address1: 4805 Leeds St dba_city: Simi Valley dba_zip_code: 93063 county_code: 56 county_name: Ventura er_service_level_desc: Not Applicable total_number_beds: 6 facility_status_desc: Open facility_status_date: 2017-10-30 license_type_desc: Long Term Care Facility license_category_desc: Congregate Living Health Facility latitude: 34.27545000 longitude: -118.69997000 |
| licensed_facility_listing_16 | 1 |
oshpd_id: 206560990 facility_name: PREMIERCARE 2 CONGREGATE LIVING, INC. license_num: 550003997 facility_level_desc: Parent Facility dba_address1: 4805 Leeds St dba_city: Simi Valley dba_zip_code: 93063 county_code: 56 county_name: Ventura er_service_level_desc: Not Applicable total_number_beds: 6 facility_status_desc: Open facility_status_date: 2017-10-30 license_type_desc: Long Term Care Facility license_category_desc: Congregate Living Health Facility latitude: 34.27545000 longitude: -118.69997000 |
| licensed_healthcare_facility_listing | 9 |
period: 2018-12-31 oshpd_id: 206560990 facility_name: PREMIERCARE 2 CONGREGATE LIVING, INC. license_num: 550003997 facility_level_desc: Parent Facility dba_address1: 4805 LEEDS STREET dba_city: SIMI VALLEY dba_zip_code: 93063 county_code: 56 county_name: VENTURA er_service_level_desc: Not Applicable total_number_beds: 6 facility_status_desc: Open facility_status_date: 2017-10-30 license_type_desc: Long Term Care Facility license_category_desc: Congregate Living Health Facility latitude: 34.27545000 longitude: -118.69997000 period: 2019-12-31 oshpd_id: 206560990 facility_name: PREMIERCARE 2 CONGREGATE LIVING, INC. license_num: 550003997 facility_level_desc: Parent Facility dba_address1: 4805 LEEDS STREET dba_city: SIMI VALLEY dba_zip_code: 93063 county_code: 56 county_name: VENTURA er_service_level_desc: Not Applicable total_number_beds: 6 facility_status_desc: Open facility_status_date: 2017-10-30 license_type_desc: Long Term Care Facility license_category_desc: Congregate Living Health Facility latitude: 34.27545000 longitude: -118.69997000 period: 2020-12-31 oshpd_id: 206560990 facility_name: PREMIERCARE 2 CONGREGATE LIVING, INC. license_num: 550003997 facility_level_desc: Parent Facility dba_address1: 4805 Leeds St dba_city: Simi Valley dba_zip_code: 93063 county_code: 56 county_name: Ventura er_service_level_desc: Not Applicable total_number_beds: 6 facility_status_desc: Open facility_status_date: 2017-10-30 license_type_desc: Long Term Care Facility license_category_desc: Congregate Living Health Facility latitude: 34.27545000 longitude: -118.69997000 period: 2021-12-31 oshpd_id: 206560990 facility_name: PREMIERCARE 2 CONGREGATE LIVING, INC. license_num: 550003997 facility_level_desc: Parent Facility dba_address1: 4805 Leeds St dba_city: Simi Valley dba_zip_code: 93063 county_code: 56 county_name: Ventura er_service_level_desc: Not Applicable total_number_beds: 6 facility_status_desc: Open facility_status_date: 2017-10-30 license_type_desc: Long Term Care Facility license_category_desc: Congregate Living Health Facility latitude: 34.27545000 longitude: -118.69997000 period: 2018-06-30 oshpd_id: 206560990 facility_name: PREMIERCARE 2 CONGREGATE LIVING, INC. license_num: 550003997 facility_level_desc: Parent Facility dba_address1: 4805 LEEDS STREET dba_city: SIMI VALLEY dba_zip_code: 93063 county_code: 56 county_name: VENTURA er_service_level_desc: Not Applicable total_number_beds: 6 facility_status_desc: Open facility_status_date: 2017-10-30 license_type_desc: Long Term Care Facility license_category_desc: Congregate Living Health Facility latitude: 34.27545000 longitude: -118.69997000 period: 2019-06-30 oshpd_id: 206560990 facility_name: PREMIERCARE 2 CONGREGATE LIVING, INC. license_num: 550003997 facility_level_desc: Parent Facility dba_address1: 4805 LEEDS STREET dba_city: SIMI VALLEY dba_zip_code: 93063 county_code: 56 county_name: VENTURA er_service_level_desc: Not Applicable total_number_beds: 6 facility_status_desc: Open facility_status_date: 2017-10-30 license_type_desc: Long Term Care Facility license_category_desc: Congregate Living Health Facility latitude: 34.27545000 longitude: -118.69997000 period: 2020-06-30 oshpd_id: 206560990 facility_name: PREMIERCARE 2 CONGREGATE LIVING, INC. license_num: 550003997 facility_level_desc: Parent Facility dba_address1: 4805 Leeds St dba_city: Simi Valley dba_zip_code: 93063 county_code: 56 county_name: Ventura er_service_level_desc: Not Applicable total_number_beds: 6 facility_status_desc: Open facility_status_date: 2017-10-30 license_type_desc: Long Term Care Facility license_category_desc: Congregate Living Health Facility latitude: 34.27545000 longitude: -118.69997000 period: 2021-06-30 oshpd_id: 206560990 facility_name: PREMIERCARE 2 CONGREGATE LIVING, INC. license_num: 550003997 facility_level_desc: Parent Facility dba_address1: 4805 Leeds St dba_city: Simi Valley dba_zip_code: 93063 county_code: 56 county_name: Ventura er_service_level_desc: Not Applicable total_number_beds: 6 facility_status_desc: Open facility_status_date: 2017-10-30 license_type_desc: Long Term Care Facility license_category_desc: Congregate Living Health Facility latitude: 34.27545000 longitude: -118.69997000 period: 2022-06-30 oshpd_id: 206560990 facility_name: PREMIERCARE 2 CONGREGATE LIVING, INC. license_num: 550003997 facility_level_desc: Parent Facility dba_address1: 4805 Leeds St dba_city: Simi Valley dba_zip_code: 93063 county_code: 56 county_name: Ventura er_service_level_desc: Not Applicable total_number_beds: 6 facility_status_desc: Open facility_status_date: 2017-10-30 license_type_desc: Long Term Care Facility license_category_desc: Congregate Living Health Facility latitude: 34.27545000 longitude: -118.69997000 |
| long_term_care_faclts_util_data_oct_2018_for_2017 | 1 |
oshpd_id: 206560990 fac_name: PREMIERCARE 2 CONGREGATE LIVING, INC. fac_address_one: 4805 LEEDS STREET fac_address_two: None fac_city: SIMI VALLEY fac_zipcode: 93063 fac_phone: 818-642-3668 fac_admin_name: Marilyn Nguyen fac_oper_curryr: No beg_date: 2017-01-01 00:00:00 end_date: 2017-12-31 00:00:00 parent_name: PREMIERCARE2 CONGREGATE LIVING, INC. parent_address_one: 4805 Leeds Street parent_address_two: None parent_city: Simi Valley parent_state: CA parent_zip_9: 93063 report_prep_name: Marilyn Nguyen lic_status: Open lic_status_date: 2017-10-30 00:00:00 lic_orig_date: None report_status: None mcal_provider_no: None mcare_provider_no: None aclaims_no: None assembly_dist: 38 senate_dist: 27 congress_dist: 25 cens_tract: 6111008201 med_svc_study_area: 240a laco_svc_plan_area: None health_svc_area: 10 - Santa Barbara/Ventura county: Ventura license_no: 550003997 longitude: -118.69997 latitude: 34.27545 type_lic: Congregate Living Health 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_oct_2018_for_2017_sec5 | 1 |
oshpd_id: 206560990 fac_name: PREMIERCARE 2 CONGREGATE LIVING, INC. 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 |
| pivot_table_long_term_care_faclts_util_data_2017 | 1 |
oshpd_id: 206560990 fac_name: PREMIERCARE 2 CONGREGATE LIVING, INC. fac_address_one: 4805 LEEDS STREET fac_city: SIMI VALLEY fac_zipcode: 93063 fac_oper_curryr: No beg_date: 2017-01-01 00:00:00 end_date: 2017-12-31 00:00:00 lic_status: Open assembly_dist: 38 senate_dist: 27 congress_dist: 25 cens_tract: 6111008201 laco_svc_plan_area: None health_svc_area: 10 - Santa Barbara/Ventura county: Ventura license_no: 550003997 longitude: -118.69997 latitude: 34.27545 type_lic: Congregate Living Health Facility type_cntrl: Investor - Corporation 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: 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: 0 ltc_adm_totl: 0 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: 0 ltc_dis_totl: 0 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: 206560990 fac_no: 206560990 fac_name: PREMIERCARE 2 CONGREGATE LIVING, INC. fac_str_addr: 4805 LEEDS STREET fac_city: SIMI VALLEY fac_zip: 93063 fac_operated_this_yr: No fac_op_per_begin_dt: 2018-01-01 00:00:00 fac_op_per_end_dt: 2018-12-31 00:00:00 license_no: 550003997 license_status: Open facility_level: Parent Facility longitude: -118.69997 latitude: 34.27545 assembly_dist: District 38 senate_dist: District 27 congress_dist: District 25 cens_tract: 06111008201 la_county_svc_plan_area: None health_svc_area: 10 - Santa Barbara/Ventura county: Ventura lic_cat: Congregate Living Health 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 |