Table # Values
licensed_healthcare_facility_listing 8 period: 2019-12-31
oshpd_id: 406361394
facility_name: DIRECT PROVIDER OF HOSPICE INC.
license_num: 550003787
facility_level_desc: Parent Facility
dba_address1: 9320 BASELINE RD
dba_city: RANCHO CUCAMONGA
dba_zip_code: 91701
county_code: 36
county_name: SAN BERNARDINO
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2019-01-03
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.12156000
longitude: -117.60170000

period: 2020-12-31
oshpd_id: 406361394
facility_name: DIRECT PROVIDER OF HOSPICE INC.
license_num: 550003787
facility_level_desc: Parent Facility
dba_address1: 9320 Baseline Rd
dba_city: Rancho Cucamonga
dba_zip_code: 91701
county_code: 36
county_name: San Bernardino
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2019-01-03
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.12156000
longitude: -117.60170000

period: 2021-12-31
oshpd_id: 406361394
facility_name: DIRECT PROVIDER OF HOSPICE INC.
license_num: 550003787
facility_level_desc: Parent Facility
dba_address1: 9320 Baseline Rd
dba_city: Rancho Cucamonga
dba_zip_code: 91701
county_code: 36
county_name: San Bernardino
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2019-01-03
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.12156000
longitude: -117.60170000

period: 2022-12-31
oshpd_id: 406361394
facility_name: DIRECT PROVIDER OF HOSPICE INC.
license_num: 550003787
facility_level_desc: Parent Facility
dba_address1: 9320 Baseline Rd
dba_city: Rancho Cucamonga
dba_zip_code: 91701
county_code: 36
county_name: San Bernardino
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2019-01-03
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.12156000
longitude: -117.60170000

period: 2023-12-31
oshpd_id: 406361394
facility_name: DIRECT PROVIDER OF HOSPICE INC.
license_num: 550003787
facility_level_desc: Parent Facility
dba_address1: 9320 Baseline Rd
dba_city: Rancho Cucamonga
dba_zip_code: 91701
county_code: 36
county_name: San Bernardino
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2019-01-03
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.12189200
longitude: -117.60176710

period: 2019-06-30
oshpd_id: 406361394
facility_name: DIRECT PROVIDER OF HOSPICE INC.
license_num: 550003787
facility_level_desc: Parent Facility
dba_address1: 9320 BASELINE RD
dba_city: RANCHO CUCAMONGA
dba_zip_code: 91701
county_code: 36
county_name: SAN BERNARDINO
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2019-01-03
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.12156000
longitude: -117.60170000

period: 2020-06-30
oshpd_id: 406361394
facility_name: DIRECT PROVIDER OF HOSPICE INC.
license_num: 550003787
facility_level_desc: Parent Facility
dba_address1: 9320 Baseline Rd
dba_city: Rancho Cucamonga
dba_zip_code: 91701
county_code: 36
county_name: San Bernardino
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2019-01-03
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.12156000
longitude: -117.60170000

period: 2021-06-30
oshpd_id: 406361394
facility_name: DIRECT PROVIDER OF HOSPICE INC.
license_num: 550003787
facility_level_desc: Parent Facility
dba_address1: 9320 Baseline Rd
dba_city: Rancho Cucamonga
dba_zip_code: 91701
county_code: 36
county_name: San Bernardino
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2019-01-03
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.12156000
longitude: -117.60170000