Table # Values
licensed_facility_listing_01 1 oshpd_id: 406191627
perm_id:
facility_name: FORMEN & FORMEN HOME HEALTH, INC.
license_num: 550004546
facility_level_desc: Home Health Agency
dba_address1: 664 W BROADWAY
dba_city: GLENDALE
dba_zip_code: 91204
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2022-08-26
license_type_desc: Home Health Agency/Hospice
license_category_desc: Home Health Agency
latitude: 34.14648180
longitude: -118.26967900

licensed_facility_listing_05 1 oshpd_id: 406191627
facility_name: FOREMEN & FORMEN HOME HEALTH, INC.
license_num: 550004546
facility_level_desc: Parent Facility
dba_address1: 1191 E WALNUT ST
dba_city: PASADENA
dba_zip_code: 91106
county_code: 19
county_name: LOS ANGELES
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2019-02-06
license_type_desc: Home Health Agency/Hospice
license_category_desc: Home Health Agency
latitude: 34.14961000
longitude: -118.12594000

licensed_facility_listing_06 1 oshpd_id: 406191627
facility_name: FOREMEN & FORMEN HOME HEALTH, INC.
license_num: 550004546
facility_level_desc: Parent Facility
dba_address1: 219 N Sierra Madre Blvd
dba_city: Pasadena
dba_zip_code: 91107
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2020-07-15
license_type_desc: Home Health Agency/Hospice
license_category_desc: Home Health Agency
latitude: 34.15079000
longitude: -118.09934000

licensed_facility_listing_07 1 oshpd_id: 406191627
facility_name: FORMEN & FORMEN HOME HEALTH, INC.
license_num: 550004546
facility_level_desc: Parent Facility
dba_address1: 219 N Sierra Madre Blvd
dba_city: Pasadena
dba_zip_code: 91107
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2020-07-15
license_type_desc: Home Health Agency/Hospice
license_category_desc: Home Health Agency
latitude: 34.15079000
longitude: -118.09934000

licensed_facility_listing_08 1 oshpd_id: 406191627
facility_name: FORMEN & FORMEN HOME HEALTH, INC.
license_num: 550004546
facility_level_desc: Parent Facility
dba_address1: 664 W Broadway
dba_city: Glendale
dba_zip_code: 91204
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2022-08-26
license_type_desc: Home Health Agency/Hospice
license_category_desc: Home Health Agency
latitude: 34.14660000
longitude: -118.26994000

licensed_facility_listing_09 1 oshpd_id: 406191627
facility_name: FORMEN & FORMEN HOME HEALTH, INC.
license_num: 550004546
facility_level_desc: Parent Facility
dba_address1: 664 W Broadway
dba_city: Glendale
dba_zip_code: 91204
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2022-08-26
license_type_desc: Home Health Agency/Hospice
license_category_desc: Home Health Agency
latitude: 34.14648180
longitude: -118.26967900

licensed_facility_listing_10 1 oshpd_id: 406191627
facility_name: FORMEN & FORMEN HOME HEALTH, INC.
license_num: 550004546
facility_level_desc: Parent Facility
dba_address1: 664 W BROADWAY
dba_city: GLENDALE
dba_zip_code: 91204
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2022-08-26
license_type_desc: Home Health Agency/Hospice
license_category_desc: Home Health Agency
latitude: 34.14648180
longitude: -118.26967900

licensed_facility_listing_14 1 oshpd_id: 406191627
facility_name: FOREMEN & FORMEN HOME HEALTH, INC.
license_num: 550004546
facility_level_desc: Parent Facility
dba_address1: 1191 E Walnut St
dba_city: Pasadena
dba_zip_code: 91106
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2019-02-06
license_type_desc: Home Health Agency/Hospice
license_category_desc: Home Health Agency
latitude: 34.14961000
longitude: -118.12594000

licensed_facility_listing_15 1 oshpd_id: 406191627
facility_name: FOREMEN & FORMEN HOME HEALTH, INC.
license_num: 550004546
facility_level_desc: Parent Facility
dba_address1: 219 N Sierra Madre Blvd
dba_city: Pasadena
dba_zip_code: 91107
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2020-07-15
license_type_desc: Home Health Agency/Hospice
license_category_desc: Home Health Agency
latitude: 34.15079000
longitude: -118.09934000

licensed_facility_listing_16 1 oshpd_id: 406191627
facility_name: FORMEN & FORMEN HOME HEALTH, INC.
license_num: 550004546
facility_level_desc: Parent Facility
dba_address1: 219 N Sierra Madre Blvd
dba_city: Pasadena
dba_zip_code: 91107
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2020-07-15
license_type_desc: Home Health Agency/Hospice
license_category_desc: Home Health Agency
latitude: 34.15079000
longitude: -118.09934000

licensed_facility_listing_17 1 oshpd_id: 406191627
facility_name: FORMEN & FORMEN HOME HEALTH, INC.
license_num: 550004546
facility_level_desc: Parent Facility
dba_address1: 664 W Broadway
dba_city: Glendale
dba_zip_code: 91204
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2022-08-26
license_type_desc: Home Health Agency/Hospice
license_category_desc: Home Health Agency
latitude: 34.14660000
longitude: -118.26994000

licensed_facility_listing_18 1 oshpd_id: 406191627
facility_name: FORMEN & FORMEN HOME HEALTH, INC.
license_num: 550004546
facility_level_desc: Parent Facility
dba_address1: 664 W BROADWAY
dba_city: GLENDALE
dba_zip_code: 91204
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2022-08-26
license_type_desc: Home Health Agency/Hospice
license_category_desc: Home Health Agency
latitude: 0.00000000
longitude: 0.00000000

licensed_healthcare_facility_listing 9 period: current
oshpd_id: 406191627
facility_name: FORMEN & FORMEN HOME HEALTH, INC.
license_num: 550004546
facility_level_desc: Parent Facility
dba_address1: 664 W BROADWAY
dba_city: GLENDALE
dba_zip_code: 91204
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2022-08-26
license_type_desc: Home Health Agency/Hospice
license_category_desc: Home Health Agency
latitude: 34.14648180
longitude: -118.26967900

period: 2019-12-31
oshpd_id: 406191627
facility_name: FOREMEN & FORMEN HOME HEALTH, INC.
license_num: 550004546
facility_level_desc: Parent Facility
dba_address1: 1191 E WALNUT ST
dba_city: PASADENA
dba_zip_code: 91106
county_code: 19
county_name: LOS ANGELES
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2019-02-06
license_type_desc: Home Health Agency/Hospice
license_category_desc: Home Health Agency
latitude: 34.14961000
longitude: -118.12594000

period: 2020-12-31
oshpd_id: 406191627
facility_name: FOREMEN & FORMEN HOME HEALTH, INC.
license_num: 550004546
facility_level_desc: Parent Facility
dba_address1: 219 N Sierra Madre Blvd
dba_city: Pasadena
dba_zip_code: 91107
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2020-07-15
license_type_desc: Home Health Agency/Hospice
license_category_desc: Home Health Agency
latitude: 34.15079000
longitude: -118.09934000

period: 2021-12-31
oshpd_id: 406191627
facility_name: FORMEN & FORMEN HOME HEALTH, INC.
license_num: 550004546
facility_level_desc: Parent Facility
dba_address1: 219 N Sierra Madre Blvd
dba_city: Pasadena
dba_zip_code: 91107
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2020-07-15
license_type_desc: Home Health Agency/Hospice
license_category_desc: Home Health Agency
latitude: 34.15079000
longitude: -118.09934000

period: 2022-12-31
oshpd_id: 406191627
facility_name: FORMEN & FORMEN HOME HEALTH, INC.
license_num: 550004546
facility_level_desc: Parent Facility
dba_address1: 664 W Broadway
dba_city: Glendale
dba_zip_code: 91204
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2022-08-26
license_type_desc: Home Health Agency/Hospice
license_category_desc: Home Health Agency
latitude: 34.14660000
longitude: -118.26994000

period: 2020-06-30
oshpd_id: 406191627
facility_name: FOREMEN & FORMEN HOME HEALTH, INC.
license_num: 550004546
facility_level_desc: Parent Facility
dba_address1: 1191 E Walnut St
dba_city: Pasadena
dba_zip_code: 91106
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2019-02-06
license_type_desc: Home Health Agency/Hospice
license_category_desc: Home Health Agency
latitude: 34.14961000
longitude: -118.12594000

period: 2021-06-30
oshpd_id: 406191627
facility_name: FOREMEN & FORMEN HOME HEALTH, INC.
license_num: 550004546
facility_level_desc: Parent Facility
dba_address1: 219 N Sierra Madre Blvd
dba_city: Pasadena
dba_zip_code: 91107
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2020-07-15
license_type_desc: Home Health Agency/Hospice
license_category_desc: Home Health Agency
latitude: 34.15079000
longitude: -118.09934000

period: 2022-06-30
oshpd_id: 406191627
facility_name: FORMEN & FORMEN HOME HEALTH, INC.
license_num: 550004546
facility_level_desc: Parent Facility
dba_address1: 219 N Sierra Madre Blvd
dba_city: Pasadena
dba_zip_code: 91107
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2020-07-15
license_type_desc: Home Health Agency/Hospice
license_category_desc: Home Health Agency
latitude: 34.15079000
longitude: -118.09934000

period: 2023-06-30
oshpd_id: 406191627
facility_name: FORMEN & FORMEN HOME HEALTH, INC.
license_num: 550004546
facility_level_desc: Parent Facility
dba_address1: 664 W Broadway
dba_city: Glendale
dba_zip_code: 91204
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2022-08-26
license_type_desc: Home Health Agency/Hospice
license_category_desc: Home Health Agency
latitude: 34.14660000
longitude: -118.26994000