Table # Values
licensed_facility_listing_01 1 oshpd_id: 406195390
perm_id:
facility_name: SUPRA HOME HEALTH AGENCY, INC.
license_num: 550008020
facility_level_desc: Home Health Agency
dba_address1: 14540 RAMONA BLVD
dba_city: BALDWIN PARK
dba_zip_code: 91706
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2022-05-02
license_type_desc: Home Health Agency/Hospice
license_category_desc: Home Health Agency
latitude: 34.08671790
longitude: -117.95791880

licensed_facility_listing_08 1 oshpd_id: 406195390
facility_name: SUPRA HOME HEALTH AGENCY, INC.
license_num: 550008020
facility_level_desc: Parent Facility
dba_address1: 14540 Ramona Blvd
dba_city: Baldwin Park
dba_zip_code: 91706
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2022-05-02
license_type_desc: Home Health Agency/Hospice
license_category_desc: Home Health Agency
latitude: 34.08668000
longitude: -117.95789000

licensed_facility_listing_09 1 oshpd_id: 406195390
facility_name: SUPRA HOME HEALTH AGENCY, INC.
license_num: 550008020
facility_level_desc: Parent Facility
dba_address1: 14540 RAMONA BLVD
dba_city: BALDWIN PARK
dba_zip_code: 91706
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2022-05-02
license_type_desc: Home Health Agency/Hospice
license_category_desc: Home Health Agency
latitude: 34.08671790
longitude: -117.95791880

licensed_facility_listing_10 1 oshpd_id: 406195390
facility_name: SUPRA HOME HEALTH AGENCY, INC.
license_num: 550008020
facility_level_desc: Parent Facility
dba_address1: 14540 RAMONA BLVD
dba_city: BALDWIN PARK
dba_zip_code: 91706
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2022-05-02
license_type_desc: Home Health Agency/Hospice
license_category_desc: Home Health Agency
latitude: 34.08671790
longitude: -117.95791880

licensed_facility_listing_17 1 oshpd_id: 406195390
facility_name: SUPRA HOME HEALTH AGENCY, INC.
license_num: 550008020
facility_level_desc: Parent Facility
dba_address1: 14540 Ramona Blvd
dba_city: Baldwin Park
dba_zip_code: 91706
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2022-05-02
license_type_desc: Home Health Agency/Hospice
license_category_desc: Home Health Agency
latitude: 34.08668000
longitude: -117.95789000

licensed_facility_listing_18 1 oshpd_id: 406195390
facility_name: SUPRA HOME HEALTH AGENCY, INC.
license_num: 550008020
facility_level_desc: Parent Facility
dba_address1: 14540 RAMONA BLVD
dba_city: BALDWIN PARK
dba_zip_code: 91706
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2022-05-02
license_type_desc: Home Health Agency/Hospice
license_category_desc: Home Health Agency
latitude: 34.08671790
longitude: -117.95791880

licensed_healthcare_facility_listing 3 period: current
oshpd_id: 406195390
facility_name: SUPRA HOME HEALTH AGENCY, INC.
license_num: 550008020
facility_level_desc: Parent Facility
dba_address1: 14540 RAMONA BLVD
dba_city: BALDWIN PARK
dba_zip_code: 91706
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2022-05-02
license_type_desc: Home Health Agency/Hospice
license_category_desc: Home Health Agency
latitude: 34.08671790
longitude: -117.95791880

period: 2022-12-31
oshpd_id: 406195390
facility_name: SUPRA HOME HEALTH AGENCY, INC.
license_num: 550008020
facility_level_desc: Parent Facility
dba_address1: 14540 Ramona Blvd
dba_city: Baldwin Park
dba_zip_code: 91706
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2022-05-02
license_type_desc: Home Health Agency/Hospice
license_category_desc: Home Health Agency
latitude: 34.08668000
longitude: -117.95789000

period: 2023-06-30
oshpd_id: 406195390
facility_name: SUPRA HOME HEALTH AGENCY, INC.
license_num: 550008020
facility_level_desc: Parent Facility
dba_address1: 14540 Ramona Blvd
dba_city: Baldwin Park
dba_zip_code: 91706
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2022-05-02
license_type_desc: Home Health Agency/Hospice
license_category_desc: Home Health Agency
latitude: 34.08668000
longitude: -117.95789000