Table # Values
licensed_facility_listing_01 1 oshpd_id: 406364794
perm_id:
facility_name: HOSPICE OF OMEGA, INC
license_num: 550006341
facility_level_desc: Hospice
dba_address1: 4700 BROOKS ST
dba_city: MONTCLAIR
dba_zip_code: 91763
county_code: 36
county_name: San Bernardino
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2021-04-29
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.06182150
longitude: -117.70249490

licensed_facility_listing_08 1 oshpd_id: 406364794
facility_name: HOSPICE OF OMEGA, INC
license_num: 550006341
facility_level_desc: Parent Facility
dba_address1: 4700 Brooks St
dba_city: Montclair
dba_zip_code: 91763
county_code: 36
county_name: San Bernardino
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2021-04-29
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.06156000
longitude: -117.70226000

licensed_facility_listing_09 1 oshpd_id: 406364794
facility_name: HOSPICE OF OMEGA, INC
license_num: 550006341
facility_level_desc: Parent Facility
dba_address1: 4700 BROOKS ST
dba_city: MONTCLAIR
dba_zip_code: 91763
county_code: 36
county_name: San Bernardino
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2021-04-29
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.06182150
longitude: -117.70249490

licensed_facility_listing_10 1 oshpd_id: 406364794
facility_name: HOSPICE OF OMEGA, INC
license_num: 550006341
facility_level_desc: Parent Facility
dba_address1: 4700 BROOKS ST
dba_city: MONTCLAIR
dba_zip_code: 91763
county_code: 36
county_name: San Bernardino
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2021-04-29
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.06182150
longitude: -117.70249490

licensed_facility_listing_16 1 oshpd_id: 406364794
facility_name: HOSPICE OF OMEGA, INC
license_num: 550006341
facility_level_desc: Parent Facility
dba_address1: 4700 Brooks St
dba_city: Montclair
dba_zip_code: 91763
county_code: 36
county_name: San Bernardino
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2021-04-29
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.06156000
longitude: -117.70226000

licensed_facility_listing_17 1 oshpd_id: 406364794
facility_name: HOSPICE OF OMEGA, INC
license_num: 550006341
facility_level_desc: Parent Facility
dba_address1: 4700 Brooks St
dba_city: Montclair
dba_zip_code: 91763
county_code: 36
county_name: San Bernardino
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2021-04-29
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.06156000
longitude: -117.70226000

licensed_facility_listing_18 1 oshpd_id: 406364794
facility_name: HOSPICE OF OMEGA, INC
license_num: 550006341
facility_level_desc: Parent Facility
dba_address1: 4700 BROOKS ST
dba_city: MONTCLAIR
dba_zip_code: 91763
county_code: 36
county_name: San Bernardino
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2021-04-29
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.06182150
longitude: -117.70249490

licensed_healthcare_facility_listing 4 period: current
oshpd_id: 406364794
facility_name: HOSPICE OF OMEGA, INC
license_num: 550006341
facility_level_desc: Parent Facility
dba_address1: 4700 BROOKS 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: 2021-04-29
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.06182150
longitude: -117.70249490

period: 2022-12-31
oshpd_id: 406364794
facility_name: HOSPICE OF OMEGA, INC
license_num: 550006341
facility_level_desc: Parent Facility
dba_address1: 4700 Brooks 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: 2021-04-29
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.06156000
longitude: -117.70226000

period: 2022-06-30
oshpd_id: 406364794
facility_name: HOSPICE OF OMEGA, INC
license_num: 550006341
facility_level_desc: Parent Facility
dba_address1: 4700 Brooks 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: 2021-04-29
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.06156000
longitude: -117.70226000

period: 2023-06-30
oshpd_id: 406364794
facility_name: HOSPICE OF OMEGA, INC
license_num: 550006341
facility_level_desc: Parent Facility
dba_address1: 4700 Brooks 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: 2021-04-29
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.06156000
longitude: -117.70226000