Table # Values
licensed_healthcare_facility_listing 12 period: current
oshpd_id: 406360905
facility_name: ANTHEM HOSPICE PROVIDERS, INC.
license_num: 550002571
facility_level_desc: Parent Facility
dba_address1: 850 S VIA LATA
dba_city: COLTON
dba_zip_code: 92324
county_code: 36
county_name: San Bernardino
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2020-01-17
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.05662290
longitude: -117.30600670

period: 2018-12-31
oshpd_id: 406360905
facility_name: ANTHEM HOSPICE PROVIDERS, INC.
license_num: 550002571
facility_level_desc: Parent Facility
dba_address1: 1016 E COOLEY DR
dba_city: COLTON
dba_zip_code: 92324
county_code: 36
county_name: SAN BERNARDINO
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2016-01-17
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.05451000
longitude: -117.31080000

period: 2019-12-31
oshpd_id: 406360905
facility_name: ANTHEM HOSPICE PROVIDERS, INC.
license_num: 550002571
facility_level_desc: Parent Facility
dba_address1: 1016 E COOLEY DR
dba_city: COLTON
dba_zip_code: 92324
county_code: 36
county_name: SAN BERNARDINO
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2016-01-17
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.05451000
longitude: -117.31080000

period: 2020-12-31
oshpd_id: 406360905
facility_name: ANTHEM HOSPICE PROVIDERS, INC.
license_num: 550002571
facility_level_desc: Parent Facility
dba_address1: 850 Via Lata
dba_city: Colton
dba_zip_code: 92324
county_code: 36
county_name: San Bernardino
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2020-01-17
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.05627000
longitude: -117.30689000

period: 2021-12-31
oshpd_id: 406360905
facility_name: ANTHEM HOSPICE PROVIDERS, INC.
license_num: 550002571
facility_level_desc: Parent Facility
dba_address1: 850 Via Lata
dba_city: Colton
dba_zip_code: 92324
county_code: 36
county_name: San Bernardino
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2020-01-17
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.05627000
longitude: -117.30689000

period: 2022-12-31
oshpd_id: 406360905
facility_name: ANTHEM HOSPICE PROVIDERS, INC.
license_num: 550002571
facility_level_desc: Parent Facility
dba_address1: 850 Via Lata
dba_city: Colton
dba_zip_code: 92324
county_code: 36
county_name: San Bernardino
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2020-01-17
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 0E-8
longitude: 0E-8

period: 2018-06-30
oshpd_id: 406360905
facility_name: ANTHEM HOSPICE PROVIDERS, INC.
license_num: 550002571
facility_level_desc: Parent Facility
dba_address1: 1016 E COOLEY DR
dba_city: COLTON
dba_zip_code: 92324
county_code: 36
county_name: SAN BERNARDINO
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2016-01-17
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.05451000
longitude: -117.31080000

period: 2019-06-30
oshpd_id: 406360905
facility_name: ANTHEM HOSPICE PROVIDERS, INC.
license_num: 550002571
facility_level_desc: Parent Facility
dba_address1: 1016 E COOLEY DR
dba_city: COLTON
dba_zip_code: 92324
county_code: 36
county_name: SAN BERNARDINO
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2016-01-17
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.05451000
longitude: -117.31080000

period: 2020-06-30
oshpd_id: 406360905
facility_name: ANTHEM HOSPICE PROVIDERS, INC.
license_num: 550002571
facility_level_desc: Parent Facility
dba_address1: 1016 E Cooley Dr
dba_city: Colton
dba_zip_code: 92324
county_code: 36
county_name: San Bernardino
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2016-01-17
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.05451000
longitude: -117.31080000

period: 2021-06-30
oshpd_id: 406360905
facility_name: ANTHEM HOSPICE PROVIDERS, INC.
license_num: 550002571
facility_level_desc: Parent Facility
dba_address1: 850 Via Lata
dba_city: Colton
dba_zip_code: 92324
county_code: 36
county_name: San Bernardino
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2020-01-17
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.05627000
longitude: -117.30689000

period: 2022-06-30
oshpd_id: 406360905
facility_name: ANTHEM HOSPICE PROVIDERS, INC.
license_num: 550002571
facility_level_desc: Parent Facility
dba_address1: 850 Via Lata
dba_city: Colton
dba_zip_code: 92324
county_code: 36
county_name: San Bernardino
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2020-01-17
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.05627000
longitude: -117.30689000

period: 2023-06-30
oshpd_id: 406360905
facility_name: ANTHEM HOSPICE PROVIDERS, INC.
license_num: 550002571
facility_level_desc: Parent Facility
dba_address1: 850 Via Lata
dba_city: Colton
dba_zip_code: 92324
county_code: 36
county_name: San Bernardino
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2020-01-17
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.05627000
longitude: -117.30688000