Table # Values
licensed_healthcare_facility_listing 14 period: current
oshpd_id: 406198330
facility_name: HOSPICE OF SO-CAL
license_num: 550003694
facility_level_desc: Parent Facility
dba_address1: 3412 W VICTORY BLVD
dba_city: BURBANK
dba_zip_code: 91505
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2022-10-18
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.18449990
longitude: -118.34850050

period: 2016-12-31
oshpd_id: 406198330
facility_name: FAIRY HOSPICE CARE, INC.
license_num: 550003694
facility_level_desc: Parent Facility
dba_address1: 512 E WILSON AVE
dba_city: GLENDALE
dba_zip_code: 91206
county_code: 19
county_name: LOS ANGELES
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2016-10-18
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.14811000
longitude: -118.24943000

period: 2017-12-31
oshpd_id: 406198330
facility_name: FAIRY HOSPICE CARE, INC.
license_num: 550003694
facility_level_desc: Parent Facility
dba_address1: 512 E WILSON AVE
dba_city: GLENDALE
dba_zip_code: 91206
county_code: 19
county_name: LOS ANGELES
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2016-10-18
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.14811000
longitude: -118.24943000

period: 2018-12-31
oshpd_id: 406198330
facility_name: FAIRY HOSPICE CARE, INC.
license_num: 550003694
facility_level_desc: Parent Facility
dba_address1: 512 E WILSON AVE
dba_city: GLENDALE
dba_zip_code: 91206
county_code: 19
county_name: LOS ANGELES
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2016-10-18
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.14811000
longitude: -118.24943000

period: 2019-12-31
oshpd_id: 406198330
facility_name: FAIRY HOSPICE CARE, INC.
license_num: 550003694
facility_level_desc: Parent Facility
dba_address1: 512 E WILSON AVE
dba_city: GLENDALE
dba_zip_code: 91206
county_code: 19
county_name: LOS ANGELES
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2016-10-18
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.14811000
longitude: -118.24943000

period: 2020-12-31
oshpd_id: 406198330
facility_name: FAIRY HOSPICE CARE, INC.
license_num: 550003694
facility_level_desc: Parent Facility
dba_address1: 512 E Wilson Ave
dba_city: Glendale
dba_zip_code: 91206
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2016-10-18
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.14811000
longitude: -118.24943000

period: 2021-12-31
oshpd_id: 406198330
facility_name: FAIRY HOSPICE CARE, INC.
license_num: 550003694
facility_level_desc: Parent Facility
dba_address1: 512 E Wilson Ave
dba_city: Glendale
dba_zip_code: 91206
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2016-10-18
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.14811000
longitude: -118.24943000

period: 2022-12-31
oshpd_id: 406198330
facility_name: HOSPICE OF SO-CAL
license_num: 550003694
facility_level_desc: Parent Facility
dba_address1: 3412 W Victory Blvd
dba_city: Burbank
dba_zip_code: 91505
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2022-10-18
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.18466000
longitude: -118.34842000

period: 2018-06-30
oshpd_id: 406198330
facility_name: FAIRY HOSPICE CARE, INC.
license_num: 550003694
facility_level_desc: Parent Facility
dba_address1: 512 E WILSON AVE
dba_city: GLENDALE
dba_zip_code: 91206
county_code: 19
county_name: LOS ANGELES
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2016-10-18
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.14811000
longitude: -118.24943000

period: 2019-06-30
oshpd_id: 406198330
facility_name: FAIRY HOSPICE CARE, INC.
license_num: 550003694
facility_level_desc: Parent Facility
dba_address1: 512 E WILSON AVE
dba_city: GLENDALE
dba_zip_code: 91206
county_code: 19
county_name: LOS ANGELES
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2016-10-18
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.14811000
longitude: -118.24943000

period: 2020-06-30
oshpd_id: 406198330
facility_name: FAIRY HOSPICE CARE, INC.
license_num: 550003694
facility_level_desc: Parent Facility
dba_address1: 512 E Wilson Ave
dba_city: Glendale
dba_zip_code: 91206
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2016-10-18
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.14811000
longitude: -118.24943000

period: 2021-06-30
oshpd_id: 406198330
facility_name: FAIRY HOSPICE CARE, INC.
license_num: 550003694
facility_level_desc: Parent Facility
dba_address1: 512 E Wilson Ave
dba_city: Glendale
dba_zip_code: 91206
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2016-10-18
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.14811000
longitude: -118.24943000

period: 2022-06-30
oshpd_id: 406198330
facility_name: FAIRY HOSPICE CARE, INC.
license_num: 550003694
facility_level_desc: Parent Facility
dba_address1: 512 E Wilson Ave
dba_city: Glendale
dba_zip_code: 91206
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2016-10-18
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.14811000
longitude: -118.24943000

period: 2023-06-30
oshpd_id: 406198330
facility_name: HOSPICE OF SO-CAL
license_num: 550003694
facility_level_desc: Parent Facility
dba_address1: 3412 W Victory Blvd
dba_city: Burbank
dba_zip_code: 91505
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2022-10-18
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.18466000
longitude: -118.34842000