Table # Values
licensed_healthcare_facility_listing 4 period: current
oshpd_id: 406363764
facility_name: COVENTRY HOSPICE
license_num: 550006511
facility_level_desc: Parent Facility
dba_address1: 5050 PALO VERDE 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: 2021-06-29
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.08177670
longitude: -117.69522850

period: 2022-12-31
oshpd_id: 406363764
facility_name: COVENTRY HOSPICE
license_num: 550006511
facility_level_desc: Parent Facility
dba_address1: 5050 Palo Verde 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: 2021-06-29
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.08173000
longitude: -117.69516000

period: 2022-06-30
oshpd_id: 406363764
facility_name: COVENTRY HOSPICE
license_num: 550006511
facility_level_desc: Parent Facility
dba_address1: 5050 Palo Verde 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: 2021-06-29
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.08173000
longitude: -117.69516000

period: 2023-06-30
oshpd_id: 406363764
facility_name: COVENTRY HOSPICE
license_num: 550006511
facility_level_desc: Parent Facility
dba_address1: 5050 Palo Verde 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: 2021-06-29
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.08173000
longitude: -117.69516000