Table # Values
licensed_facility_listing_01 1 oshpd_id: 406365147
perm_id:
facility_name: HEAVENLY ANGEL HOSPICE INC
license_num: 550007501
facility_level_desc: Hospice
dba_address1: 202 E AIRPORT DR
dba_city: SAN BERNARDINO
dba_zip_code: 92408
county_code: 36
county_name: San Bernardino
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2021-12-04
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.06766490
longitude: -117.28370510

licensed_facility_listing_08 1 oshpd_id: 406365147
facility_name: HEAVENLY ANGEL HOSPICE INC
license_num: 550007501
facility_level_desc: Parent Facility
dba_address1: 202 E Airport Dr
dba_city: San Bernardino
dba_zip_code: 92408
county_code: 36
county_name: San Bernardino
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2021-12-04
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.06825000
longitude: -117.28361000

licensed_facility_listing_09 1 oshpd_id: 406365147
facility_name: HEAVENLY ANGEL HOSPICE INC
license_num: 550007501
facility_level_desc: Parent Facility
dba_address1: 202 E Airport Dr
dba_city: San Bernardino
dba_zip_code: 92408
county_code: 36
county_name: San Bernardino
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2021-12-04
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.06766490
longitude: -117.28370510

licensed_facility_listing_10 1 oshpd_id: 406365147
facility_name: HEAVENLY ANGEL HOSPICE INC
license_num: 550007501
facility_level_desc: Parent Facility
dba_address1: 202 E AIRPORT DR
dba_city: SAN BERNARDINO
dba_zip_code: 92408
county_code: 36
county_name: San Bernardino
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2021-12-04
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.06766490
longitude: -117.28370510

licensed_facility_listing_16 1 oshpd_id: 406365147
facility_name: HEAVENLY ANGEL HOSPICE INC
license_num: 550007501
facility_level_desc: Parent Facility
dba_address1: 202 E Airport Dr
dba_city: San Bernardino
dba_zip_code: 92408
county_code: 36
county_name: San Bernardino
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2021-12-04
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.06825000
longitude: -117.28361000

licensed_facility_listing_17 1 oshpd_id: 406365147
facility_name: HEAVENLY ANGEL HOSPICE INC
license_num: 550007501
facility_level_desc: Parent Facility
dba_address1: 202 E Airport Dr
dba_city: San Bernardino
dba_zip_code: 92408
county_code: 36
county_name: San Bernardino
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2021-12-04
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.06825000
longitude: -117.28361000

licensed_facility_listing_18 1 oshpd_id: 406365147
facility_name: HEAVENLY ANGEL HOSPICE INC
license_num: 550007501
facility_level_desc: Parent Facility
dba_address1: 202 E AIRPORT DR
dba_city: SAN BERNARDINO
dba_zip_code: 92408
county_code: 36
county_name: San Bernardino
er_service_level_desc: Not Applicable
total_number_beds:
facility_status_desc: Open
facility_status_date: 2021-12-04
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 0.00000000
longitude: 0.00000000

licensed_healthcare_facility_listing 4 period: current
oshpd_id: 406365147
facility_name: HEAVENLY ANGEL HOSPICE INC
license_num: 550007501
facility_level_desc: Parent Facility
dba_address1: 202 E AIRPORT DR
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: Open
facility_status_date: 2021-12-04
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.06766490
longitude: -117.28370510

period: 2022-12-31
oshpd_id: 406365147
facility_name: HEAVENLY ANGEL HOSPICE INC
license_num: 550007501
facility_level_desc: Parent Facility
dba_address1: 202 E Airport Dr
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: Open
facility_status_date: 2021-12-04
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.06825000
longitude: -117.28361000

period: 2022-06-30
oshpd_id: 406365147
facility_name: HEAVENLY ANGEL HOSPICE INC
license_num: 550007501
facility_level_desc: Parent Facility
dba_address1: 202 E Airport Dr
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: Open
facility_status_date: 2021-12-04
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.06825000
longitude: -117.28361000

period: 2023-06-30
oshpd_id: 406365147
facility_name: HEAVENLY ANGEL HOSPICE INC
license_num: 550007501
facility_level_desc: Parent Facility
dba_address1: 202 E Airport Dr
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: Open
facility_status_date: 2021-12-04
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.06825000
longitude: -117.28361000