Table # Values
licensed_healthcare_facility_listing 7 period: current
oshpd_id: 406362629
facility_name: DIVINE ANGELS HOSPICE
license_num: 550004557
facility_level_desc: Parent Facility
dba_address1: 4712 Brooks St
dba_city: Montclair
dba_zip_code: 91763
county_code: 36
county_name: San Bernardino
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2019-01-24
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.06182180
longitude: -117.70225560

period: 2020-12-31
oshpd_id: 406362629
facility_name: DIVINE ANGELS HOSPICE
license_num: 550004557
facility_level_desc: Parent Facility
dba_address1: 4712 Brooks St
dba_city: Montclair
dba_zip_code: 91763
county_code: 36
county_name: San Bernardino
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2019-01-24
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.06155000
longitude: -117.70220000

period: 2021-12-31
oshpd_id: 406362629
facility_name: DIVINE ANGELS HOSPICE
license_num: 550004557
facility_level_desc: Parent Facility
dba_address1: 4712 Brooks St
dba_city: Montclair
dba_zip_code: 91763
county_code: 36
county_name: San Bernardino
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2019-01-24
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.06155000
longitude: -117.70220000

period: 2022-12-31
oshpd_id: 406362629
facility_name: DIVINE ANGELS HOSPICE
license_num: 550004557
facility_level_desc: Parent Facility
dba_address1: 4712 Brooks St
dba_city: Montclair
dba_zip_code: 91763
county_code: 36
county_name: San Bernardino
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2019-01-24
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.06155000
longitude: -117.70220000

period: 2021-06-30
oshpd_id: 406362629
facility_name: DIVINE ANGELS HOSPICE
license_num: 550004557
facility_level_desc: Parent Facility
dba_address1: 4712 Brooks St
dba_city: Montclair
dba_zip_code: 91763
county_code: 36
county_name: San Bernardino
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2019-01-24
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.06155000
longitude: -117.70220000

period: 2022-06-30
oshpd_id: 406362629
facility_name: DIVINE ANGELS HOSPICE
license_num: 550004557
facility_level_desc: Parent Facility
dba_address1: 4712 Brooks St
dba_city: Montclair
dba_zip_code: 91763
county_code: 36
county_name: San Bernardino
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2019-01-24
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.06155000
longitude: -117.70220000

period: 2023-06-30
oshpd_id: 406362629
facility_name: DIVINE ANGELS HOSPICE
license_num: 550004557
facility_level_desc: Parent Facility
dba_address1: 4712 Brooks St
dba_city: Montclair
dba_zip_code: 91763
county_code: 36
county_name: San Bernardino
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2019-01-24
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.06155000
longitude: -117.70220000