Table # Values
licensed_facility_listing_01 1 oshpd_id: 406362641
perm_id:
facility_name: ARCHANGEL HOSPICE, LLC
license_num: 550005044
facility_level_desc: Hospice
dba_address1: 57475 TWENTYNICE PALMS HWY
dba_city: YUCCA VALLEY
dba_zip_code: 92284
county_code: 36
county_name: San Bernardino
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2022-04-12
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.12376580
longitude: -116.41044410

licensed_facility_listing_06 1 oshpd_id: 406362641
facility_name: ARCHANGEL HOSPICE, LLC
license_num: 550005044
facility_level_desc: Parent Facility
dba_address1: 56970 Yucca Trl
dba_city: Yucca Valley
dba_zip_code: 92284
county_code: 36
county_name: San Bernardino
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2019-10-10
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.12094000
longitude: -116.42097000

licensed_facility_listing_07 1 oshpd_id: 406362641
facility_name: ARCHANGEL HOSPICE, LLC
license_num: 550005044
facility_level_desc: Parent Facility
dba_address1: 56970 Yucca Trl
dba_city: Yucca Valley
dba_zip_code: 92284
county_code: 36
county_name: San Bernardino
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2019-10-10
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.12094000
longitude: -116.42097000

licensed_facility_listing_08 1 oshpd_id: 406362641
facility_name: ARCHANGEL HOSPICE, LLC
license_num: 550005044
facility_level_desc: Parent Facility
dba_address1: 56970 Yucca Trl
dba_city: Yucca Valley
dba_zip_code: 92284
county_code: 36
county_name: San Bernardino
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2019-10-10
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.12094000
longitude: -116.42097000

licensed_facility_listing_09 1 oshpd_id: 406362641
facility_name: ARCHANGEL HOSPICE, LLC
license_num: 550005044
facility_level_desc: Parent Facility
dba_address1: 57475 TWENTYNICE PALMS HWY
dba_city: YUCCA VALLEY
dba_zip_code: 92284
county_code: 36
county_name: San Bernardino
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2022-04-12
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.12376580
longitude: -116.41044410

licensed_facility_listing_10 1 oshpd_id: 406362641
facility_name: ARCHANGEL HOSPICE, LLC
license_num: 550005044
facility_level_desc: Parent Facility
dba_address1: 57475 TWENTYNICE PALMS HWY
dba_city: YUCCA VALLEY
dba_zip_code: 92284
county_code: 36
county_name: San Bernardino
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2022-04-12
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.12376580
longitude: -116.41044410

licensed_facility_listing_15 1 oshpd_id: 406362641
facility_name: ARCHANGEL HOSPICE, LLC
license_num: 550005044
facility_level_desc: Parent Facility
dba_address1: 56970 Yucca Trl
dba_city: Yucca Valley
dba_zip_code: 92284
county_code: 36
county_name: San Bernardino
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2019-10-10
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.12094000
longitude: -116.42097000

licensed_facility_listing_16 1 oshpd_id: 406362641
facility_name: ARCHANGEL HOSPICE, LLC
license_num: 550005044
facility_level_desc: Parent Facility
dba_address1: 56970 Yucca Trl
dba_city: Yucca Valley
dba_zip_code: 92284
county_code: 36
county_name: San Bernardino
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2019-10-10
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.12094000
longitude: -116.42097000

licensed_facility_listing_17 1 oshpd_id: 406362641
facility_name: ARCHANGEL HOSPICE, LLC
license_num: 550005044
facility_level_desc: Parent Facility
dba_address1: 57475 Twentynine Palms Hwy
dba_city: Yucca Valley
dba_zip_code: 92284
county_code: 36
county_name: San Bernardino
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2022-04-12
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.12448000
longitude: -116.41057000

licensed_facility_listing_18 1 oshpd_id: 406362641
facility_name: ARCHANGEL HOSPICE, LLC
license_num: 550005044
facility_level_desc: Parent Facility
dba_address1: 57475 TWENTYNICE PALMS HWY
dba_city: YUCCA VALLEY
dba_zip_code: 92284
county_code: 36
county_name: San Bernardino
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2022-04-12
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.12376580
longitude: -116.41044410

licensed_healthcare_facility_listing 7 period: current
oshpd_id: 406362641
facility_name: ARCHANGEL HOSPICE, LLC
license_num: 550005044
facility_level_desc: Parent Facility
dba_address1: 57475 TWENTYNICE PALMS HWY
dba_city: YUCCA VALLEY
dba_zip_code: 92284
county_code: 36
county_name: San Bernardino
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2022-04-12
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.12376580
longitude: -116.41044410

period: 2020-12-31
oshpd_id: 406362641
facility_name: ARCHANGEL HOSPICE, LLC
license_num: 550005044
facility_level_desc: Parent Facility
dba_address1: 56970 Yucca Trl
dba_city: Yucca Valley
dba_zip_code: 92284
county_code: 36
county_name: San Bernardino
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2019-10-10
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.12094000
longitude: -116.42097000

period: 2021-12-31
oshpd_id: 406362641
facility_name: ARCHANGEL HOSPICE, LLC
license_num: 550005044
facility_level_desc: Parent Facility
dba_address1: 56970 Yucca Trl
dba_city: Yucca Valley
dba_zip_code: 92284
county_code: 36
county_name: San Bernardino
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2019-10-10
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.12094000
longitude: -116.42097000

period: 2022-12-31
oshpd_id: 406362641
facility_name: ARCHANGEL HOSPICE, LLC
license_num: 550005044
facility_level_desc: Parent Facility
dba_address1: 56970 Yucca Trl
dba_city: Yucca Valley
dba_zip_code: 92284
county_code: 36
county_name: San Bernardino
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2019-10-10
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.12094000
longitude: -116.42097000

period: 2021-06-30
oshpd_id: 406362641
facility_name: ARCHANGEL HOSPICE, LLC
license_num: 550005044
facility_level_desc: Parent Facility
dba_address1: 56970 Yucca Trl
dba_city: Yucca Valley
dba_zip_code: 92284
county_code: 36
county_name: San Bernardino
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2019-10-10
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.12094000
longitude: -116.42097000

period: 2022-06-30
oshpd_id: 406362641
facility_name: ARCHANGEL HOSPICE, LLC
license_num: 550005044
facility_level_desc: Parent Facility
dba_address1: 56970 Yucca Trl
dba_city: Yucca Valley
dba_zip_code: 92284
county_code: 36
county_name: San Bernardino
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2019-10-10
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.12094000
longitude: -116.42097000

period: 2023-06-30
oshpd_id: 406362641
facility_name: ARCHANGEL HOSPICE, LLC
license_num: 550005044
facility_level_desc: Parent Facility
dba_address1: 57475 Twentynine Palms Hwy
dba_city: Yucca Valley
dba_zip_code: 92284
county_code: 36
county_name: San Bernardino
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2022-04-12
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.12448000
longitude: -116.41057000