Table # Values
licensed_facility_listing_01 1 oshpd_id: 406306109
perm_id:
facility_name: COASTAL HOSPICE OF SOCAL, INC
license_num: 550006117
facility_level_desc: Hospice
dba_address1: 12465 LEWIS ST
dba_city: GARDEN GROVE
dba_zip_code: 92840
county_code: 30
county_name: Orange
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2021-02-20
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 33.78203040
longitude: -117.89949710

licensed_facility_listing_09 1 oshpd_id: 406306109
facility_name: COASTAL HOSPICE OF SOCAL, INC
license_num: 550006117
facility_level_desc: Parent Facility
dba_address1: 12465 Lewis St
dba_city: Garden Grove
dba_zip_code: 92840
county_code: 30
county_name: Orange
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2021-02-20
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 33.78195000
longitude: -117.89949710

licensed_facility_listing_10 1 oshpd_id: 406306109
facility_name: COASTAL HOSPICE OF SOCAL, INC
license_num: 550006117
facility_level_desc: Parent Facility
dba_address1: 12465 LEWIS ST
dba_city: GARDEN GROVE
dba_zip_code: 92840
county_code: 30
county_name: Orange
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2021-02-20
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 33.78203040
longitude: -117.89949710

licensed_facility_listing_17 1 oshpd_id: 406306109
facility_name: COASTAL HOSPICE OF SOCAL, INC
license_num: 550006117
facility_level_desc: Parent Facility
dba_address1: 12465 Lewis St
dba_city: Garden Grove
dba_zip_code: 92840
county_code: 30
county_name: Orange
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2021-02-20
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 33.78204000
longitude: -117.89782000

licensed_facility_listing_18 1 oshpd_id: 406306109
facility_name: COASTAL HOSPICE OF SOCAL, INC
license_num: 550006117
facility_level_desc: Parent Facility
dba_address1: 12465 LEWIS ST
dba_city: GARDEN GROVE
dba_zip_code: 92840
county_code: 30
county_name: Orange
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2021-02-20
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 0.00000000
longitude: 0.00000000

licensed_healthcare_facility_listing 2 period: current
oshpd_id: 406306109
facility_name: COASTAL HOSPICE OF SOCAL, INC
license_num: 550006117
facility_level_desc: Parent Facility
dba_address1: 12465 LEWIS ST
dba_city: GARDEN GROVE
dba_zip_code: 92840
county_code: 30
county_name: Orange
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2021-02-20
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 33.78203040
longitude: -117.89949710

period: 2023-06-30
oshpd_id: 406306109
facility_name: COASTAL HOSPICE OF SOCAL, INC
license_num: 550006117
facility_level_desc: Parent Facility
dba_address1: 12465 Lewis St
dba_city: Garden Grove
dba_zip_code: 92840
county_code: 30
county_name: Orange
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2021-02-20
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 33.78204000
longitude: -117.89782000