Table # Values
licensed_healthcare_facility_listing 3 period: current
oshpd_id: 406195563
facility_name: PROVIDENCE TRINITYCARE HOSPICE - BRANCH
license_num: 980000880
facility_level_desc: Branch
dba_address1: 16600 SHERMAN WAY
dba_city: VAN NUYS
dba_zip_code: 91406
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2022-05-31
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.20072170
longitude: -118.49495390

period: 2022-12-31
oshpd_id: 406195563
facility_name: PROVIDENCE TRINITYCARE HOSPICE - BRANCH
license_num: 980000880
facility_level_desc: Branch
dba_address1: 16600 Sherman Way
dba_city: Van Nuys
dba_zip_code: 91406
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2022-05-31
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.20074000
longitude: -118.49515000

period: 2023-06-30
oshpd_id: 406195563
facility_name: PROVIDENCE TRINITYCARE HOSPICE - BRANCH
license_num: 980000880
facility_level_desc: Branch
dba_address1: 16600 Sherman Way
dba_city: Van Nuys
dba_zip_code: 91406
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2022-05-31
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.20074000
longitude: -118.49515000