Table # Values
licensed_facility_listing_01 1 oshpd_id: 406196140
perm_id:
facility_name: MONTANA HOSPICE, INC
license_num: 550006193
facility_level_desc: Hospice
dba_address1: 1201 N Pacific Ave
dba_city: Glendale
dba_zip_code: 91202
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2021-03-30
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.16342570
longitude: -118.26538450

licensed_facility_listing_09 1 oshpd_id: 406196140
facility_name: MONTANA HOSPICE, INC
license_num: 550006193
facility_level_desc: Parent Facility
dba_address1: 1201 N Pacific Ave
dba_city: Glendale
dba_zip_code: 91202
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2021-03-30
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.16342570
longitude: -118.26538450

licensed_facility_listing_10 1 oshpd_id: 406196140
facility_name: MONTANA HOSPICE, INC
license_num: 550006193
facility_level_desc: Parent Facility
dba_address1: 1201 N Pacific Ave
dba_city: Glendale
dba_zip_code: 91202
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2021-03-30
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.16342570
longitude: -118.26538450

licensed_facility_listing_17 1 oshpd_id: 406196140
facility_name: MONTANA HOSPICE, INC
license_num: 550006193
facility_level_desc: Parent Facility
dba_address1: 1201 N Pacific Ave
dba_city: Glendale
dba_zip_code: 91202
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2021-03-30
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.16346000
longitude: -118.26535000

licensed_facility_listing_18 1 oshpd_id: 406196140
facility_name: MONTANA HOSPICE, INC
license_num: 550006193
facility_level_desc: Parent Facility
dba_address1: 1201 N Pacific Ave
dba_city: Glendale
dba_zip_code: 91202
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2021-03-30
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.16342570
longitude: -118.26538450

licensed_healthcare_facility_listing 2 period: current
oshpd_id: 406196140
facility_name: MONTANA HOSPICE, INC
license_num: 550006193
facility_level_desc: Parent Facility
dba_address1: 1201 N Pacific Ave
dba_city: Glendale
dba_zip_code: 91202
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2021-03-30
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.16342570
longitude: -118.26538450

period: 2023-06-30
oshpd_id: 406196140
facility_name: MONTANA HOSPICE, INC
license_num: 550006193
facility_level_desc: Parent Facility
dba_address1: 1201 N Pacific Ave
dba_city: Glendale
dba_zip_code: 91202
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2021-03-30
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.16346000
longitude: -118.26535000