Table # Values
licensed_healthcare_facility_listing 6 period: 2016-12-31
oshpd_id: 406364504
facility_name: AGAHOSPICE INC.
license_num: 550002815
facility_level_desc: Parent Facility
dba_address1: 16519 VICTOR ST
dba_city: VICTORVILLE
dba_zip_code: 92395
county_code: 36
county_name: SAN BERNARDINO
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2014-07-08
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.52169000
longitude: -117.30428000

period: 2016-12-31
oshpd_id: 406364504
facility_name: AGAHOSPICE INC.
license_num: 550002815
facility_level_desc: Parent Facility
dba_address1: 16519 VICTOR ST
dba_city: VICTORVILLE
dba_zip_code: 92395
county_code: 36
county_name: SAN BERNARDINO
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2014-07-08
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.52169000
longitude: -117.30428000

period: 2020-12-31
oshpd_id: 406364504
facility_name: AGAHOSPICE INC.
license_num: 550004436
facility_level_desc: Parent Facility
dba_address1: 16519 Victor St
dba_city: Victorville
dba_zip_code: 92395
county_code: 36
county_name: San Bernardino
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2018-10-25
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.52169000
longitude: -117.30428000

period: 2017-06-30
oshpd_id: 406364504
facility_name: AGAHOSPICE INC.
license_num: 550002815
facility_level_desc: Parent Facility
dba_address1: 16519 VICTOR ST
dba_city: VICTORVILLE
dba_zip_code: 92395
county_code: 36
county_name: SAN BERNARDINO
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2014-07-08
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.52169000
longitude: -117.30428000

period: 2020-06-30
oshpd_id: 406364504
facility_name: AGAHOSPICE INC.
license_num: 550004436
facility_level_desc: Parent Facility
dba_address1: 16519 Victor St
dba_city: Victorville
dba_zip_code: 92395
county_code: 36
county_name: San Bernardino
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2018-10-25
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.52169000
longitude: -117.30428000

period: 2021-06-30
oshpd_id: 406364504
facility_name: AGAHOSPICE INC.
license_num: 550004436
facility_level_desc: Parent Facility
dba_address1: 16519 Victor St
dba_city: Victorville
dba_zip_code: 92395
county_code: 36
county_name: San Bernardino
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2018-10-25
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.52169000
longitude: -117.30428000