Table # Values
licensed_healthcare_facility_listing 4 period: 2020-12-31
oshpd_id: 406362611
facility_name: CRESTLINE HOME HEALTH, INC.
license_num: 550004609
facility_level_desc: Parent Facility
dba_address1: 600 N Mountain Ave
dba_city: Upland
dba_zip_code: 91786
county_code: 36
county_name: San Bernardino
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2019-03-13
license_type_desc: Home Health Agency/Hospice
license_category_desc: Home Health Agency
latitude: 34.10104000
longitude: -117.66909000

period: 2021-12-31
oshpd_id: 406362611
facility_name: CRESTLINE HOME HEALTH, INC.
license_num: 550004609
facility_level_desc: Parent Facility
dba_address1: 600 N Mountain Ave
dba_city: Upland
dba_zip_code: 91786
county_code: 36
county_name: San Bernardino
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2019-03-13
license_type_desc: Home Health Agency/Hospice
license_category_desc: Home Health Agency
latitude: 34.10104000
longitude: -117.66909000

period: 2022-12-31
oshpd_id: 406362611
facility_name: CRESTLINE HOME HEALTH, INC.
license_num: 550004609
facility_level_desc: Parent Facility
dba_address1: 600 N Mountain Ave
dba_city: Upland
dba_zip_code: 91786
county_code: 36
county_name: San Bernardino
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2019-03-13
license_type_desc: Home Health Agency/Hospice
license_category_desc: Home Health Agency
latitude: 34.10104000
longitude: -117.66909000

period: 2021-06-30
oshpd_id: 406362611
facility_name: CRESTLINE HOME HEALTH, INC.
license_num: 550004609
facility_level_desc: Parent Facility
dba_address1: 600 N Mountain Ave
dba_city: Upland
dba_zip_code: 91786
county_code: 36
county_name: San Bernardino
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2019-03-13
license_type_desc: Home Health Agency/Hospice
license_category_desc: Home Health Agency
latitude: 34.10104000
longitude: -117.66909000