Table # Values
licensed_facility_listing_01 1 oshpd_id: 406195954
perm_id:
facility_name: PREMIUM PALLIATIVE SERVICES INC
license_num: 550005832
facility_level_desc: Hospice
dba_address1: 14525 Vanowen St
dba_city: Van Nuys
dba_zip_code: 91405
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2022-07-13
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.19414370
longitude: -118.44974850

licensed_facility_listing_09 1 oshpd_id: 406195954
facility_name: PREMIUM PALLIATIVE SERVICES INC
license_num: 550005832
facility_level_desc: Parent Facility
dba_address1: 14525 Vanowen St
dba_city: Van Nuys
dba_zip_code: 91405
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2022-07-13
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.19414370
longitude: -118.44974850

licensed_facility_listing_10 1 oshpd_id: 406195954
facility_name: PREMIUM PALLIATIVE SERVICES INC
license_num: 550005832
facility_level_desc: Parent Facility
dba_address1: 14525 Vanowen St
dba_city: Van Nuys
dba_zip_code: 91405
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2022-07-13
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.19414370
longitude: -118.44974850

licensed_facility_listing_17 1 oshpd_id: 406195954
facility_name: PREMIUM PALLIATIVE SERVICES INC
license_num: 550005832
facility_level_desc: Parent Facility
dba_address1: 14525 Vanowen St
dba_city: Van Nuys
dba_zip_code: 91405
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2022-07-13
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.19416000
longitude: -118.44976000

licensed_facility_listing_18 1 oshpd_id: 406195954
facility_name: PREMIUM PALLIATIVE SERVICES INC
license_num: 550005832
facility_level_desc: Parent Facility
dba_address1: 14525 Vanowen St
dba_city: Van Nuys
dba_zip_code: 91405
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2022-07-13
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.19414370
longitude: -118.44974850

licensed_healthcare_facility_listing 2 period: current
oshpd_id: 406195954
facility_name: PREMIUM PALLIATIVE SERVICES INC
license_num: 550005832
facility_level_desc: Parent Facility
dba_address1: 14525 Vanowen St
dba_city: Van Nuys
dba_zip_code: 91405
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2022-07-13
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.19414370
longitude: -118.44974850

period: 2023-06-30
oshpd_id: 406195954
facility_name: PREMIUM PALLIATIVE SERVICES INC
license_num: 550005832
facility_level_desc: Parent Facility
dba_address1: 14525 Vanowen St
dba_city: Van Nuys
dba_zip_code: 91405
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2022-07-13
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.19416000
longitude: -118.44976000