Table # Values
licensed_healthcare_facility_listing 4 period: current
oshpd_id: 406193474
facility_name: GLEN-IVY HOSPICE INC
license_num: 550006734
facility_level_desc: Parent Facility
dba_address1: 169 S ALVARADO ST
dba_city: LOS ANGELES
dba_zip_code: 90057
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2021-04-29
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.06502490
longitude: -118.27168810

period: 2022-12-31
oshpd_id: 406193474
facility_name: GLEN-IVY HOSPICE INC
license_num: 550006734
facility_level_desc: Parent Facility
dba_address1: 169 S Alvarado St
dba_city: Los Angeles
dba_zip_code: 90057
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2021-04-29
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.06507000
longitude: -118.27167000

period: 2022-06-30
oshpd_id: 406193474
facility_name: GLEN-IVY HOSPICE INC
license_num: 550006734
facility_level_desc: Parent Facility
dba_address1: 169 S Alvarado St
dba_city: Los Angeles
dba_zip_code: 90057
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2021-04-29
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.06507000
longitude: -118.27167000

period: 2023-06-30
oshpd_id: 406193474
facility_name: GLEN-IVY HOSPICE INC
license_num: 550006734
facility_level_desc: Parent Facility
dba_address1: 169 S Alvarado St
dba_city: Los Angeles
dba_zip_code: 90057
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2021-04-29
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.06507000
longitude: -118.27167000