Table # Values
licensed_facility_listing_01 1 oshpd_id: 406193730
perm_id:
facility_name: HOSPICE OF PROVIDENCE, INC.
license_num: 550006698
facility_level_desc: Hospice
dba_address1: 4533 VAN NUYS BLVD
dba_city: SHERMAN OAKS
dba_zip_code: 91403
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2021-08-06
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.15405240
longitude: -118.44899060

licensed_facility_listing_08 1 oshpd_id: 406193730
facility_name: HOSPICE OF PROVIDENCE, INC.
license_num: 550006698
facility_level_desc: Parent Facility
dba_address1: 4533 Van Nuys Blvd
dba_city: Sherman Oaks
dba_zip_code: 91403
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2021-08-06
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.15403000
longitude: -118.44898000

licensed_facility_listing_09 1 oshpd_id: 406193730
facility_name: HOSPICE OF PROVIDENCE, INC.
license_num: 550006698
facility_level_desc: Parent Facility
dba_address1: 4533 Van Nuys Blvd
dba_city: Sherman Oaks
dba_zip_code: 91403
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2021-08-06
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.15405240
longitude: -118.44899060

licensed_facility_listing_10 1 oshpd_id: 406193730
facility_name: HOSPICE OF PROVIDENCE, INC.
license_num: 550006698
facility_level_desc: Parent Facility
dba_address1: 4533 VAN NUYS BLVD
dba_city: SHERMAN OAKS
dba_zip_code: 91403
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2021-08-06
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.15405240
longitude: -118.44899060

licensed_facility_listing_16 1 oshpd_id: 406193730
facility_name: HOSPICE OF PROVIDENCE, INC.
license_num: 550006698
facility_level_desc: Parent Facility
dba_address1: 4533 Van Nuys Blvd
dba_city: Sherman Oaks
dba_zip_code: 91403
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2021-08-06
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.15403000
longitude: -118.44898000

licensed_facility_listing_17 1 oshpd_id: 406193730
facility_name: HOSPICE OF PROVIDENCE, INC.
license_num: 550006698
facility_level_desc: Parent Facility
dba_address1: 4533 Van Nuys Blvd
dba_city: Sherman Oaks
dba_zip_code: 91403
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2021-08-06
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.15403000
longitude: -118.44898000

licensed_facility_listing_18 1 oshpd_id: 406193730
facility_name: HOSPICE OF PROVIDENCE, INC.
license_num: 550006698
facility_level_desc: Parent Facility
dba_address1: 4533 VAN NUYS BLVD
dba_city: SHERMAN OAKS
dba_zip_code: 91403
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2021-08-06
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 0.00000000
longitude: 0.00000000

licensed_healthcare_facility_listing 4 period: current
oshpd_id: 406193730
facility_name: HOSPICE OF PROVIDENCE, INC.
license_num: 550006698
facility_level_desc: Parent Facility
dba_address1: 4533 VAN NUYS BLVD
dba_city: SHERMAN OAKS
dba_zip_code: 91403
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2021-08-06
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.15405240
longitude: -118.44899060

period: 2022-12-31
oshpd_id: 406193730
facility_name: HOSPICE OF PROVIDENCE, INC.
license_num: 550006698
facility_level_desc: Parent Facility
dba_address1: 4533 Van Nuys Blvd
dba_city: Sherman Oaks
dba_zip_code: 91403
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2021-08-06
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.15403000
longitude: -118.44898000

period: 2022-06-30
oshpd_id: 406193730
facility_name: HOSPICE OF PROVIDENCE, INC.
license_num: 550006698
facility_level_desc: Parent Facility
dba_address1: 4533 Van Nuys Blvd
dba_city: Sherman Oaks
dba_zip_code: 91403
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2021-08-06
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.15403000
longitude: -118.44898000

period: 2023-06-30
oshpd_id: 406193730
facility_name: HOSPICE OF PROVIDENCE, INC.
license_num: 550006698
facility_level_desc: Parent Facility
dba_address1: 4533 Van Nuys Blvd
dba_city: Sherman Oaks
dba_zip_code: 91403
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2021-08-06
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.15403000
longitude: -118.44898000