Table # Values
licensed_facility_listing_02 1 oshpd_id: 406364439
facility_name: HOSPICE OF THE ANGELS, INC
license_num: 550001674
facility_level_desc: Parent Facility
dba_address1: 4959 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: 08/11/2011
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
longitude: -117.69694
latitude: 34.0813

licensed_facility_listing_03 1 oshpd_id: 406364439
facility_name: HOSPICE OF THE ANGELS, INC
license_num: 550001674
facility_level_desc: Parent Facility
dba_address1: 4959 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: 8/11/2011
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.0813
longitude: -117.69694

licensed_facility_listing_04 1 oshpd_id: 406364439
facility_name: HOSPICE OF THE ANGELS, INC
license_num: 550001674
facility_level_desc: Parent Facility
dba_address1: 4959 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: 2011-08-11
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.08130000
longitude: -117.69694000

licensed_facility_listing_05 1 oshpd_id: 406364439
facility_name: HOSPICE OF THE ANGELS, INC
license_num: 550001674
facility_level_desc: Parent Facility
dba_address1: 4959 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: 2011-08-11
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.08130000
longitude: -117.69694000

licensed_facility_listing_11 1 oshpd_id: 406364439
facility_name: HOSPICE OF THE ANGELS, INC
license_num: 550001674
facility_level_desc: Parent Facility
dba_address1: 4959 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: 2011-08-11
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.08130000
longitude: -117.69694000

licensed_facility_listing_12 1 oshpd_id: 406364439
facility_name: HOSPICE OF THE ANGELS, INC
license_num: 550001674
facility_level_desc: Parent Facility
dba_address1: 4959 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: 2011-08-11
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.08130000
longitude: -117.69694000

licensed_facility_listing_13 1 oshpd_id: 406364439
facility_name: HOSPICE OF THE ANGELS, INC
license_num: 550001674
facility_level_desc: Parent Facility
dba_address1: 4959 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: 2011-08-11
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.08130000
longitude: -117.69694000

licensed_facility_listing_14 1 oshpd_id: 406364439
facility_name: HOSPICE OF THE ANGELS, INC
license_num: 550001674
facility_level_desc: Parent Facility
dba_address1: 4959 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: 2011-08-11
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.08130000
longitude: -117.69694000

licensed_healthcare_facility_listing 8 period: 2016-12-31
oshpd_id: 406364439
facility_name: HOSPICE OF THE ANGELS, INC
license_num: 550001674
facility_level_desc: Parent Facility
dba_address1: 4959 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: 2011-08-11
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.08130000
longitude: -117.69694000

period: 2017-12-31
oshpd_id: 406364439
facility_name: HOSPICE OF THE ANGELS, INC
license_num: 550001674
facility_level_desc: Parent Facility
dba_address1: 4959 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: 2011-08-11
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.08130000
longitude: -117.69694000

period: 2018-12-31
oshpd_id: 406364439
facility_name: HOSPICE OF THE ANGELS, INC
license_num: 550001674
facility_level_desc: Parent Facility
dba_address1: 4959 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: 2011-08-11
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.08130000
longitude: -117.69694000

period: 2019-12-31
oshpd_id: 406364439
facility_name: HOSPICE OF THE ANGELS, INC
license_num: 550001674
facility_level_desc: Parent Facility
dba_address1: 4959 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: 2011-08-11
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.08130000
longitude: -117.69694000

period: 2017-06-30
oshpd_id: 406364439
facility_name: HOSPICE OF THE ANGELS, INC
license_num: 550001674
facility_level_desc: Parent Facility
dba_address1: 4959 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: 2011-08-11
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.08130000
longitude: -117.69694000

period: 2018-06-30
oshpd_id: 406364439
facility_name: HOSPICE OF THE ANGELS, INC
license_num: 550001674
facility_level_desc: Parent Facility
dba_address1: 4959 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: 2011-08-11
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.08130000
longitude: -117.69694000

period: 2019-06-30
oshpd_id: 406364439
facility_name: HOSPICE OF THE ANGELS, INC
license_num: 550001674
facility_level_desc: Parent Facility
dba_address1: 4959 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: 2011-08-11
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.08130000
longitude: -117.69694000

period: 2020-06-30
oshpd_id: 406364439
facility_name: HOSPICE OF THE ANGELS, INC
license_num: 550001674
facility_level_desc: Parent Facility
dba_address1: 4959 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: 2011-08-11
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.08130000
longitude: -117.69694000