Table # Values
licensed_facility_listing_08 1 oshpd_id: 406365108
facility_name: SUN LIFE HOSPICE, INC.
license_num: 550007612
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: 2021-12-21
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.08081000
longitude: -117.69661000

licensed_facility_listing_09 1 oshpd_id: 406365108
facility_name: SUN LIFE HOSPICE, INC.
license_num: 550007612
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: 2021-12-21
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.08091530
longitude: -117.69678650

licensed_facility_listing_16 1 oshpd_id: 406365108
facility_name: SUN LIFE HOSPICE, INC.
license_num: 550007612
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: 2021-12-21
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.08081000
longitude: -117.69661000

licensed_facility_listing_17 1 oshpd_id: 406365108
facility_name: SUN LIFE HOSPICE, INC.
license_num: 550007612
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: 2021-12-21
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.08081000
longitude: -117.69661000

licensed_facility_listing_18 1 oshpd_id: 406365108
facility_name: SUN LIFE HOSPICE, INC.
license_num: 550007612
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: 2021-12-21
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.08091530
longitude: -117.69678650

licensed_healthcare_facility_listing 3 period: 2022-12-31
oshpd_id: 406365108
facility_name: SUN LIFE HOSPICE, INC.
license_num: 550007612
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: 2021-12-21
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.08081000
longitude: -117.69661000

period: 2022-06-30
oshpd_id: 406365108
facility_name: SUN LIFE HOSPICE, INC.
license_num: 550007612
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: 2021-12-21
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.08081000
longitude: -117.69661000

period: 2023-06-30
oshpd_id: 406365108
facility_name: SUN LIFE HOSPICE, INC.
license_num: 550007612
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: 2021-12-21
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.08081000
longitude: -117.69661000