Table # Values
licensed_facility_listing_02 1 oshpd_id: 406364046
facility_name: GENTIVA HEALTH SERVICES - SAN BERNARDINO BRANCH
license_num: 250000066
facility_level_desc: Branch
dba_address1: 268 W. HOSPITALITY LANE, NO.103
dba_city: SAN BERNARDINO
dba_zip_code: 92408
county_code: 36
county_name: SAN BERNARDINO
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Suspense
facility_status_date: 04/14/2006
license_type_desc: Home Health Agency/Hospice
license_category_desc: Home Health Agency
longitude: -117.287098
latitude: 34.065937

licensed_facility_listing_03 1 oshpd_id: 406364046
facility_name: GENTIVA HEALTH SERVICES - SAN BERNARDINO BRANCH
license_num: 250000066
facility_level_desc: Branch
dba_address1: 268 W. HOSPITALITY LANE, NO.103
dba_city: SAN BERNARDINO
dba_zip_code: 92408
county_code: 36
county_name: SAN BERNARDINO
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Suspense
facility_status_date: 4/14/2006
license_type_desc: Home Health Agency/Hospice
license_category_desc: Home Health Agency
latitude: 34.065937
longitude: -117.287098

licensed_facility_listing_11 1 oshpd_id: 406364046
facility_name: GENTIVA HEALTH SERVICES - SAN BERNARDINO BRANCH
license_num: 250000066
facility_level_desc: Branch
dba_address1: 268 W. HOSPITALITY LANE, NO.103
dba_city: SAN BERNARDINO
dba_zip_code: 92408
county_code: 36
county_name: SAN BERNARDINO
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Suspense
facility_status_date: 2006-04-14
license_type_desc: Home Health Agency/Hospice
license_category_desc: Home Health Agency
latitude: 34.06593700
longitude: -117.28709800

licensed_healthcare_facility_listing 3 period: 2016-12-31
oshpd_id: 406364046
facility_name: GENTIVA HEALTH SERVICES - SAN BERNARDINO BRANCH
license_num: 250000066
facility_level_desc: Branch
dba_address1: 268 W. HOSPITALITY LANE, NO.103
dba_city: SAN BERNARDINO
dba_zip_code: 92408
county_code: 36
county_name: SAN BERNARDINO
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Suspense
facility_status_date: 2006-04-14
license_type_desc: Home Health Agency/Hospice
license_category_desc: Home Health Agency
latitude: 34.06593700
longitude: -117.28709800

period: 2017-12-31
oshpd_id: 406364046
facility_name: GENTIVA HEALTH SERVICES - SAN BERNARDINO BRANCH
license_num: 250000066
facility_level_desc: Branch
dba_address1: 268 W. HOSPITALITY LANE, NO.103
dba_city: SAN BERNARDINO
dba_zip_code: 92408
county_code: 36
county_name: SAN BERNARDINO
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Suspense
facility_status_date: 2006-04-14
license_type_desc: Home Health Agency/Hospice
license_category_desc: Home Health Agency
latitude: 34.06593700
longitude: -117.28709800

period: 2017-06-30
oshpd_id: 406364046
facility_name: GENTIVA HEALTH SERVICES - SAN BERNARDINO BRANCH
license_num: 250000066
facility_level_desc: Branch
dba_address1: 268 W. HOSPITALITY LANE, NO.103
dba_city: SAN BERNARDINO
dba_zip_code: 92408
county_code: 36
county_name: SAN BERNARDINO
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Suspense
facility_status_date: 2006-04-14
license_type_desc: Home Health Agency/Hospice
license_category_desc: Home Health Agency
latitude: 34.06593700
longitude: -117.28709800