Table # Values
licensed_healthcare_facility_listing 5 period: current
oshpd_id: 406193211
facility_name: PROVIDE HOME HEALTH, INC.
license_num: 550007011
facility_level_desc: Parent Facility
dba_address1: 2829 N SAN FERNANDO RD
dba_city: LOS ANGELES
dba_zip_code: 90065
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2021-10-21
license_type_desc: Home Health Agency/Hospice
license_category_desc: Home Health Agency
latitude: 34.11128920
longitude: -118.24339240

period: 2021-12-31
oshpd_id: 406193211
facility_name: PROVIDE HOME HEALTH, INC.
license_num: 550007011
facility_level_desc: Parent Facility
dba_address1: 2829 N San Fernando Rd
dba_city: Los Angeles
dba_zip_code: 90065
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2021-10-21
license_type_desc: Home Health Agency/Hospice
license_category_desc: Home Health Agency
latitude: 34.11130000
longitude: -118.24319000

period: 2022-12-31
oshpd_id: 406193211
facility_name: PROVIDE HOME HEALTH, INC.
license_num: 550007011
facility_level_desc: Parent Facility
dba_address1: 2829 N San Fernando Rd
dba_city: Los Angeles
dba_zip_code: 90065
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2021-10-21
license_type_desc: Home Health Agency/Hospice
license_category_desc: Home Health Agency
latitude: 34.11130000
longitude: -118.24319000

period: 2022-06-30
oshpd_id: 406193211
facility_name: PROVIDE HOME HEALTH, INC.
license_num: 550007011
facility_level_desc: Parent Facility
dba_address1: 2829 N San Fernando Rd
dba_city: Los Angeles
dba_zip_code: 90065
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2021-10-21
license_type_desc: Home Health Agency/Hospice
license_category_desc: Home Health Agency
latitude: 34.11130000
longitude: -118.24319000

period: 2023-06-30
oshpd_id: 406193211
facility_name: PROVIDE HOME HEALTH, INC.
license_num: 550007011
facility_level_desc: Parent Facility
dba_address1: 2829 N San Fernando Rd
dba_city: Los Angeles
dba_zip_code: 90065
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2021-10-21
license_type_desc: Home Health Agency/Hospice
license_category_desc: Home Health Agency
latitude: 34.11130000
longitude: -118.24319000