Table # Values
licensed_healthcare_facility_listing 4 period: current
oshpd_id: 406194776
facility_name: ULTRA STAR HOSPICE, INC.
license_num: 550007668
facility_level_desc: Parent Facility
dba_address1: 12501 Chandler Blvd
dba_city: Valley Village
dba_zip_code: 91607
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2021-12-22
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.16888840
longitude: -118.40567880

period: 2022-12-31
oshpd_id: 406194776
facility_name: ULTRA STAR HOSPICE, INC.
license_num: 550007668
facility_level_desc: Parent Facility
dba_address1: 12501 Chandler Blvd
dba_city: Valley Village
dba_zip_code: 91607
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2021-12-22
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.16887000
longitude: -118.40561000

period: 2022-06-30
oshpd_id: 406194776
facility_name: ULTRA STAR HOSPICE, INC.
license_num: 550007668
facility_level_desc: Parent Facility
dba_address1: 12501 Chandler Blvd
dba_city: Valley Village
dba_zip_code: 91607
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2021-12-22
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.16887000
longitude: -118.40561000

period: 2023-06-30
oshpd_id: 406194776
facility_name: ULTRA STAR HOSPICE, INC.
license_num: 550007668
facility_level_desc: Parent Facility
dba_address1: 12501 Chandler Blvd
dba_city: Valley Village
dba_zip_code: 91607
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2021-12-22
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.16887000
longitude: -118.40561000