Table # Values
licensed_facility_listing_01 1 oshpd_id: 406193309
perm_id:
facility_name: SUPREME HOME CARE SERVICES, INC.
license_num: 550007174
facility_level_desc: Home Health Agency
dba_address1: 100 N BRAND BLVD
dba_city: GLENDALE
dba_zip_code: 91203
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2024-11-10
license_type_desc: Home Health Agency/Hospice
license_category_desc: Home Health Agency
latitude: 34.14651910
longitude: -118.25473770

licensed_facility_listing_08 1 oshpd_id: 406193309
facility_name: SUPREME HOME CARE SERVICES, INC.
license_num: 550007174
facility_level_desc: Parent Facility
dba_address1: 4119 W Burbank Blvd
dba_city: Burbank
dba_zip_code: 91505
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2021-11-10
license_type_desc: Home Health Agency/Hospice
license_category_desc: Home Health Agency
latitude: 34.17323000
longitude: -118.35547000

licensed_facility_listing_09 1 oshpd_id: 406193309
facility_name: SUPREME HOME CARE SERVICES, INC.
license_num: 550007174
facility_level_desc: Parent Facility
dba_address1: 4119 W BURBANK BLVD
dba_city: BURBANK
dba_zip_code: 91505
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2021-11-10
license_type_desc: Home Health Agency/Hospice
license_category_desc: Home Health Agency
latitude: 34.17326640
longitude: -118.35546310

licensed_facility_listing_10 1 oshpd_id: 406193309
facility_name: SUPREME HOME CARE SERVICES, INC.
license_num: 550007174
facility_level_desc: Parent Facility
dba_address1: 4119 W BURBANK BLVD
dba_city: BURBANK
dba_zip_code: 91505
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2021-11-10
license_type_desc: Home Health Agency/Hospice
license_category_desc: Home Health Agency
latitude: 34.17326640
longitude: -118.35546310

licensed_facility_listing_16 1 oshpd_id: 406193309
facility_name: SUPREME HOME CARE SERVICES, INC.
license_num: 550007174
facility_level_desc: Parent Facility
dba_address1: 4119 W Burbank Blvd
dba_city: Burbank
dba_zip_code: 91505
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2021-11-10
license_type_desc: Home Health Agency/Hospice
license_category_desc: Home Health Agency
latitude: 34.17323000
longitude: -118.35547000

licensed_facility_listing_17 1 oshpd_id: 406193309
facility_name: SUPREME HOME CARE SERVICES, INC.
license_num: 550007174
facility_level_desc: Parent Facility
dba_address1: 4119 W Burbank Blvd
dba_city: Burbank
dba_zip_code: 91505
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2021-11-10
license_type_desc: Home Health Agency/Hospice
license_category_desc: Home Health Agency
latitude: 34.17323000
longitude: -118.35547000

licensed_facility_listing_18 1 oshpd_id: 406193309
facility_name: SUPREME HOME CARE SERVICES, INC.
license_num: 550007174
facility_level_desc: Parent Facility
dba_address1: 4119 W BURBANK BLVD
dba_city: BURBANK
dba_zip_code: 91505
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2021-11-10
license_type_desc: Home Health Agency/Hospice
license_category_desc: Home Health Agency
latitude: 34.17326640
longitude: -118.35546310

licensed_healthcare_facility_listing 4 period: current
oshpd_id: 406193309
facility_name: SUPREME HOME CARE SERVICES, INC.
license_num: 550007174
facility_level_desc: Parent Facility
dba_address1: 4119 W BURBANK BLVD
dba_city: BURBANK
dba_zip_code: 91505
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2021-11-10
license_type_desc: Home Health Agency/Hospice
license_category_desc: Home Health Agency
latitude: 34.17326640
longitude: -118.35546310

period: 2022-12-31
oshpd_id: 406193309
facility_name: SUPREME HOME CARE SERVICES, INC.
license_num: 550007174
facility_level_desc: Parent Facility
dba_address1: 4119 W Burbank Blvd
dba_city: Burbank
dba_zip_code: 91505
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2021-11-10
license_type_desc: Home Health Agency/Hospice
license_category_desc: Home Health Agency
latitude: 34.17323000
longitude: -118.35547000

period: 2022-06-30
oshpd_id: 406193309
facility_name: SUPREME HOME CARE SERVICES, INC.
license_num: 550007174
facility_level_desc: Parent Facility
dba_address1: 4119 W Burbank Blvd
dba_city: Burbank
dba_zip_code: 91505
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2021-11-10
license_type_desc: Home Health Agency/Hospice
license_category_desc: Home Health Agency
latitude: 34.17323000
longitude: -118.35547000

period: 2023-06-30
oshpd_id: 406193309
facility_name: SUPREME HOME CARE SERVICES, INC.
license_num: 550007174
facility_level_desc: Parent Facility
dba_address1: 4119 W Burbank Blvd
dba_city: Burbank
dba_zip_code: 91505
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2021-11-10
license_type_desc: Home Health Agency/Hospice
license_category_desc: Home Health Agency
latitude: 34.17323000
longitude: -118.35547000