| Table | # | Values |
|---|---|---|
| facility_profile_attributes | 1 |
facility_desc: MERCY HOSPICE MT. SHASTA site_address1: 635 LASSEN LN site_address2: None site_city: MT SHASTA site_zip: 96067 site_x_coordinate: -122.327333 site_y_coordinate: 41.320254 oshpd_id: 406474011 license_type_desc: Home Health Agency/Hospice license_category_desc: Hospice license_number: 100000756 facility_level_desc: Parent Facility er_service_level_desc: Not Specified licensed_beds: None facility_status_desc: Open financial_facility_count: 0 consolidated_facility_desc_pipe: None consolidated_facility_desc_comma: None period_begin_date: None period_end_date: None net_pat_rev_medicare_traditional_ip: None net_pat_rev_medicare_managed_ip: None net_pat_rev_medi_cal_traditional_ip: None net_pat_rev_medi_cal_managed_ip: None net_pat_rev_county_indigent_traditional_ip: None net_pat_rev_county_indigent_managed_ip: None net_pat_rev_third_party_traditional_ip: None net_pat_rev_third_party_managed_ip: None net_pat_rev_other_indigent_ip: None net_pat_rev_other_payer_ip: None net_pat_rev_total_ip: None net_pat_rev_medicare_traditional_op: None net_pat_rev_medicare_managed_op: None net_pat_rev_medi_cal_traditional_op: None net_pat_rev_medi_cal_managed_op: None net_pat_rev_county_indigent_traditional_op: None net_pat_rev_county_indigent_managed_op: None net_pat_rev_third_party_traditional_op: None net_pat_rev_third_party_managed_op: None net_pat_rev_other_indigent_op: None net_pat_rev_other_payer_op: None net_pat_rev_total_op: None payer_mix_medicare_traditional_ip: .000000000000 payer_mix_medicare_traditional_ip_state: None payer_mix_medicare_managed_ip: .000000000000 payer_mix_medicare_managed_ip_state: None payer_mix_medi_cal_traditional_ip: .000000000000 payer_mix_medi_cal_traditional_ip_state: None payer_mix_medi_cal_managed_ip: .000000000000 payer_mix_medi_cal_managed_ip_state: None payer_mix_county_indigent_traditional_ip: .000000000000 payer_mix_county_indigent_traditional_ip_state: None payer_mix_county_indigent_managed_ip: .000000000000 payer_mix_county_indigent_managed_ip_state: None payer_mix_third_party_traditional_ip: .000000000000 payer_mix_third_party_traditional_ip_state: None payer_mix_third_party_managed_ip: .000000000000 payer_mix_third_party_managed_ip_state: None payer_mix_other_indigent_ip: .000000000000 payer_mix_other_indigent_ip_state: None payer_mix_other_payer_ip: .000000000000 payer_mix_other_payer_ip_state: None payer_mix_medicare_traditional_op: .000000000000 payer_mix_medicare_traditional_op_state: None payer_mix_medicare_managed_op: .000000000000 payer_mix_medicare_managed_op_state: None payer_mix_medi_cal_traditional_op: .000000000000 payer_mix_medi_cal_traditional_op_state: None payer_mix_medi_cal_managed_op: .000000000000 payer_mix_medi_cal_managed_op_state: None payer_mix_county_indigent_traditional_op: .000000000000 payer_mix_county_indigent_traditional_op_state: None payer_mix_county_indigent_managed_op: .000000000000 payer_mix_county_indigent_managed_op_state: None payer_mix_third_party_traditional_op: .000000000000 payer_mix_third_party_traditional_op_state: None payer_mix_third_party_managed_op: .000000000000 payer_mix_third_party_managed_op_state: None payer_mix_other_indigent_op: .000000000000 payer_mix_other_indigent_op_state: None payer_mix_other_payer_op: .000000000000 payer_mix_other_payer_op_state: None avg_stay_medicare_traditional: None avg_stay_medicare_managed: None avg_stay_medi_cal_traditional: None avg_stay_medi_cal_managed: None avg_stay_county_indigent_traditional: None avg_stay_county_indigent_managed: None avg_stay_third_party_traditional: None avg_stay_third_party_managed: None avg_stay_other_indigent_total: None avg_stay_other_payer_total: None avg_stay_total: None active_projects: None active_project_costs: None active_projects_state: 4279 active_project_costs_state: 18558539344 spc_1: None spc_2: None spc_3: None spc_4: None spc_5: None spc_1_state: 33 spc_2_state: 655 spc_3_state: 385 spc_4_state: 781 spc_5_state: 1446 sysdate: None |
| licensed_facility_listing_01 | 1 |
oshpd_id: 406474011 facility_name: MERCY HOSPICE MT. SHASTA license_num: 100000756 facility_level_desc: Parent Facility dba_address1: 635 LASSEN LN dba_city: MT SHASTA dba_zip_code: 96067 county_code: 47 county_name: Siskiyou er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 2022-11-06 license_type_desc: Home Health Agency/Hospice license_category_desc: Hospice latitude: 41.32025370 longitude: -122.32733310 |
| licensed_facility_listing_02 | 1 |
oshpd_id: 406474011 facility_name: MERCY HOSPICE MT. SHASTA license_num: 100000756 facility_level_desc: Parent Facility dba_address1: 914 PINE ST dba_city: MT SHASTA dba_zip_code: 96067 county_code: 47 county_name: SISKIYOU er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 08/04/1999 license_type_desc: Home Health Agency/Hospice license_category_desc: Hospice longitude: -122.32312 latitude: 41.31892 |
| licensed_facility_listing_03 | 1 |
oshpd_id: 406474011 facility_name: MERCY HOSPICE MT. SHASTA license_num: 100000756 facility_level_desc: Parent Facility dba_address1: 914 PINE ST dba_city: MT SHASTA dba_zip_code: 96067 county_code: 47 county_name: SISKIYOU er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 8/4/1999 license_type_desc: Home Health Agency/Hospice license_category_desc: Hospice latitude: 41.31892 longitude: -122.32312 |
| licensed_facility_listing_04 | 1 |
oshpd_id: 406474011 facility_name: MERCY HOSPICE MT. SHASTA license_num: 100000756 facility_level_desc: Parent Facility dba_address1: 914 PINE ST dba_city: MT SHASTA dba_zip_code: 96067 county_code: 47 county_name: SISKIYOU er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 1999-08-04 license_type_desc: Home Health Agency/Hospice license_category_desc: Hospice latitude: 41.31892000 longitude: -122.32312000 |
| licensed_facility_listing_05 | 1 |
oshpd_id: 406474011 facility_name: MERCY HOSPICE MT. SHASTA license_num: 100000756 facility_level_desc: Parent Facility dba_address1: 914 PINE ST dba_city: MT SHASTA dba_zip_code: 96067 county_code: 47 county_name: SISKIYOU er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 1999-08-04 license_type_desc: Home Health Agency/Hospice license_category_desc: Hospice latitude: 41.31892000 longitude: -122.32312000 |
| licensed_facility_listing_06 | 1 |
oshpd_id: 406474011 facility_name: MERCY HOSPICE MT. SHASTA license_num: 100000756 facility_level_desc: Parent Facility dba_address1: 914 Pine St dba_city: Mt Shasta dba_zip_code: 96067 county_code: 47 county_name: Siskiyou er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 1999-08-04 license_type_desc: Home Health Agency/Hospice license_category_desc: Hospice latitude: 41.31892000 longitude: -122.32312000 |
| licensed_facility_listing_07 | 1 |
oshpd_id: 406474011 facility_name: MERCY HOSPICE MT. SHASTA license_num: 100000756 facility_level_desc: Parent Facility dba_address1: 914 Pine St dba_city: Mt Shasta dba_zip_code: 96067 county_code: 47 county_name: Siskiyou er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 1999-08-04 license_type_desc: Home Health Agency/Hospice license_category_desc: Hospice latitude: 41.31892000 longitude: -122.32312000 |
| licensed_facility_listing_08 | 1 |
oshpd_id: 406474011 facility_name: MERCY HOSPICE MT. SHASTA license_num: 100000756 facility_level_desc: Parent Facility dba_address1: 914 Pine St dba_city: Mt Shasta dba_zip_code: 96067 county_code: 47 county_name: Siskiyou er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 1999-08-04 license_type_desc: Home Health Agency/Hospice license_category_desc: Hospice latitude: 41.31892000 longitude: -122.32312000 |
| licensed_facility_listing_09 | 1 |
oshpd_id: 406474011 facility_name: MERCY HOSPICE MT. SHASTA license_num: 100000756 facility_level_desc: Parent Facility dba_address1: 635 Lassen Ln dba_city: Mount Shasta dba_zip_code: 96067 county_code: 47 county_name: Siskiyou er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 2022-11-06 license_type_desc: Home Health Agency/Hospice license_category_desc: Hospice latitude: 41.32019950 longitude: -122.32735590 |
| licensed_facility_listing_10 | 1 |
oshpd_id: 406474011 facility_name: MERCY HOSPICE MT. SHASTA license_num: 100000756 facility_level_desc: Parent Facility dba_address1: 635 LASSEN LN dba_city: MT SHASTA dba_zip_code: 96067 county_code: 47 county_name: Siskiyou er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 2022-11-06 license_type_desc: Home Health Agency/Hospice license_category_desc: Hospice latitude: 41.32025370 longitude: -122.32733310 |
| licensed_facility_listing_11 | 1 |
oshpd_id: 406474011 facility_name: MERCY HOSPICE MT. SHASTA license_num: 100000756 facility_level_desc: Parent Facility dba_address1: 914 PINE ST dba_city: MT SHASTA dba_zip_code: 96067 county_code: 47 county_name: SISKIYOU er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 1999-08-04 license_type_desc: Home Health Agency/Hospice license_category_desc: Hospice latitude: 41.31892000 longitude: -122.32312000 |
| licensed_facility_listing_12 | 1 |
oshpd_id: 406474011 facility_name: MERCY HOSPICE MT. SHASTA license_num: 100000756 facility_level_desc: Parent Facility dba_address1: 914 PINE ST dba_city: MT SHASTA dba_zip_code: 96067 county_code: 47 county_name: SISKIYOU er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 1999-08-04 license_type_desc: Home Health Agency/Hospice license_category_desc: Hospice latitude: 41.31892000 longitude: -122.32312000 |
| licensed_facility_listing_13 | 1 |
oshpd_id: 406474011 facility_name: MERCY HOSPICE MT. SHASTA license_num: 100000756 facility_level_desc: Parent Facility dba_address1: 914 PINE ST dba_city: MT SHASTA dba_zip_code: 96067 county_code: 47 county_name: SISKIYOU er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 1999-08-04 license_type_desc: Home Health Agency/Hospice license_category_desc: Hospice latitude: 41.31892000 longitude: -122.32312000 |
| licensed_facility_listing_14 | 1 |
oshpd_id: 406474011 facility_name: MERCY HOSPICE MT. SHASTA license_num: 100000756 facility_level_desc: Parent Facility dba_address1: 914 Pine St dba_city: Mt Shasta dba_zip_code: 96067 county_code: 47 county_name: Siskiyou er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 1999-08-04 license_type_desc: Home Health Agency/Hospice license_category_desc: Hospice latitude: 41.31892000 longitude: -122.32312000 |
| licensed_facility_listing_15 | 1 |
oshpd_id: 406474011 facility_name: MERCY HOSPICE MT. SHASTA license_num: 100000756 facility_level_desc: Parent Facility dba_address1: 914 Pine St dba_city: Mt Shasta dba_zip_code: 96067 county_code: 47 county_name: Siskiyou er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 1999-08-04 license_type_desc: Home Health Agency/Hospice license_category_desc: Hospice latitude: 41.31892000 longitude: -122.32312000 |
| licensed_facility_listing_16 | 1 |
oshpd_id: 406474011 facility_name: MERCY HOSPICE MT. SHASTA license_num: 100000756 facility_level_desc: Parent Facility dba_address1: 914 Pine St dba_city: Mt Shasta dba_zip_code: 96067 county_code: 47 county_name: Siskiyou er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 1999-08-04 license_type_desc: Home Health Agency/Hospice license_category_desc: Hospice latitude: 41.31892000 longitude: -122.32312000 |
| licensed_facility_listing_17 | 1 |
oshpd_id: 406474011 facility_name: MERCY HOSPICE MT. SHASTA license_num: 100000756 facility_level_desc: Parent Facility dba_address1: 635 Lassen Ln dba_city: Mount Shasta dba_zip_code: 96067 county_code: 47 county_name: Siskiyou er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 2022-11-06 license_type_desc: Home Health Agency/Hospice license_category_desc: Hospice latitude: 41.32024000 longitude: -122.32734000 |
| licensed_facility_listing_18 | 1 |
oshpd_id: 406474011 facility_name: MERCY HOSPICE MT. SHASTA license_num: 100000756 facility_level_desc: Parent Facility dba_address1: 635 Lassen Ln dba_city: Mount Shasta dba_zip_code: 96067 county_code: 47 county_name: Siskiyou er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 2022-11-06 license_type_desc: Home Health Agency/Hospice license_category_desc: Hospice latitude: 41.32019950 longitude: -122.32735590 |
| licensed_healthcare_facility_listing | 15 |
period: current oshpd_id: 406474011 facility_name: MERCY HOSPICE MT. SHASTA license_num: 100000756 facility_level_desc: Parent Facility dba_address1: 635 LASSEN LN dba_city: MT SHASTA dba_zip_code: 96067 county_code: 47 county_name: Siskiyou er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 2022-11-06 license_type_desc: Home Health Agency/Hospice license_category_desc: Hospice latitude: 41.32025370 longitude: -122.32733310 period: 2016-12-31 oshpd_id: 406474011 facility_name: MERCY HOSPICE MT. SHASTA license_num: 100000756 facility_level_desc: Parent Facility dba_address1: 914 PINE ST dba_city: MT SHASTA dba_zip_code: 96067 county_code: 47 county_name: SISKIYOU er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 1999-08-04 license_type_desc: Home Health Agency/Hospice license_category_desc: Hospice latitude: 41.31892000 longitude: -122.32312000 period: 2017-12-31 oshpd_id: 406474011 facility_name: MERCY HOSPICE MT. SHASTA license_num: 100000756 facility_level_desc: Parent Facility dba_address1: 914 PINE ST dba_city: MT SHASTA dba_zip_code: 96067 county_code: 47 county_name: SISKIYOU er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 1999-08-04 license_type_desc: Home Health Agency/Hospice license_category_desc: Hospice latitude: 41.31892000 longitude: -122.32312000 period: 2018-12-31 oshpd_id: 406474011 facility_name: MERCY HOSPICE MT. SHASTA license_num: 100000756 facility_level_desc: Parent Facility dba_address1: 914 PINE ST dba_city: MT SHASTA dba_zip_code: 96067 county_code: 47 county_name: SISKIYOU er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 1999-08-04 license_type_desc: Home Health Agency/Hospice license_category_desc: Hospice latitude: 41.31892000 longitude: -122.32312000 period: 2019-12-31 oshpd_id: 406474011 facility_name: MERCY HOSPICE MT. SHASTA license_num: 100000756 facility_level_desc: Parent Facility dba_address1: 914 PINE ST dba_city: MT SHASTA dba_zip_code: 96067 county_code: 47 county_name: SISKIYOU er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 1999-08-04 license_type_desc: Home Health Agency/Hospice license_category_desc: Hospice latitude: 41.31892000 longitude: -122.32312000 period: 2020-12-31 oshpd_id: 406474011 facility_name: MERCY HOSPICE MT. SHASTA license_num: 100000756 facility_level_desc: Parent Facility dba_address1: 914 Pine St dba_city: Mt Shasta dba_zip_code: 96067 county_code: 47 county_name: Siskiyou er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 1999-08-04 license_type_desc: Home Health Agency/Hospice license_category_desc: Hospice latitude: 41.31892000 longitude: -122.32312000 period: 2021-12-31 oshpd_id: 406474011 facility_name: MERCY HOSPICE MT. SHASTA license_num: 100000756 facility_level_desc: Parent Facility dba_address1: 914 Pine St dba_city: Mt Shasta dba_zip_code: 96067 county_code: 47 county_name: Siskiyou er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 1999-08-04 license_type_desc: Home Health Agency/Hospice license_category_desc: Hospice latitude: 41.31892000 longitude: -122.32312000 period: 2022-12-31 oshpd_id: 406474011 facility_name: MERCY HOSPICE MT. SHASTA license_num: 100000756 facility_level_desc: Parent Facility dba_address1: 914 Pine St dba_city: Mt Shasta dba_zip_code: 96067 county_code: 47 county_name: Siskiyou er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 1999-08-04 license_type_desc: Home Health Agency/Hospice license_category_desc: Hospice latitude: 41.31892000 longitude: -122.32312000 period: 2017-06-30 oshpd_id: 406474011 facility_name: MERCY HOSPICE MT. SHASTA license_num: 100000756 facility_level_desc: Parent Facility dba_address1: 914 PINE ST dba_city: MT SHASTA dba_zip_code: 96067 county_code: 47 county_name: SISKIYOU er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 1999-08-04 license_type_desc: Home Health Agency/Hospice license_category_desc: Hospice latitude: 41.31892000 longitude: -122.32312000 period: 2018-06-30 oshpd_id: 406474011 facility_name: MERCY HOSPICE MT. SHASTA license_num: 100000756 facility_level_desc: Parent Facility dba_address1: 914 PINE ST dba_city: MT SHASTA dba_zip_code: 96067 county_code: 47 county_name: SISKIYOU er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 1999-08-04 license_type_desc: Home Health Agency/Hospice license_category_desc: Hospice latitude: 41.31892000 longitude: -122.32312000 period: 2019-06-30 oshpd_id: 406474011 facility_name: MERCY HOSPICE MT. SHASTA license_num: 100000756 facility_level_desc: Parent Facility dba_address1: 914 PINE ST dba_city: MT SHASTA dba_zip_code: 96067 county_code: 47 county_name: SISKIYOU er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 1999-08-04 license_type_desc: Home Health Agency/Hospice license_category_desc: Hospice latitude: 41.31892000 longitude: -122.32312000 period: 2020-06-30 oshpd_id: 406474011 facility_name: MERCY HOSPICE MT. SHASTA license_num: 100000756 facility_level_desc: Parent Facility dba_address1: 914 Pine St dba_city: Mt Shasta dba_zip_code: 96067 county_code: 47 county_name: Siskiyou er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 1999-08-04 license_type_desc: Home Health Agency/Hospice license_category_desc: Hospice latitude: 41.31892000 longitude: -122.32312000 period: 2021-06-30 oshpd_id: 406474011 facility_name: MERCY HOSPICE MT. SHASTA license_num: 100000756 facility_level_desc: Parent Facility dba_address1: 914 Pine St dba_city: Mt Shasta dba_zip_code: 96067 county_code: 47 county_name: Siskiyou er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 1999-08-04 license_type_desc: Home Health Agency/Hospice license_category_desc: Hospice latitude: 41.31892000 longitude: -122.32312000 period: 2022-06-30 oshpd_id: 406474011 facility_name: MERCY HOSPICE MT. SHASTA license_num: 100000756 facility_level_desc: Parent Facility dba_address1: 914 Pine St dba_city: Mt Shasta dba_zip_code: 96067 county_code: 47 county_name: Siskiyou er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 1999-08-04 license_type_desc: Home Health Agency/Hospice license_category_desc: Hospice latitude: 41.31892000 longitude: -122.32312000 period: 2023-06-30 oshpd_id: 406474011 facility_name: MERCY HOSPICE MT. SHASTA license_num: 100000756 facility_level_desc: Parent Facility dba_address1: 635 Lassen Ln dba_city: Mount Shasta dba_zip_code: 96067 county_code: 47 county_name: Siskiyou er_service_level_desc: Not Applicable total_number_beds: None facility_status_desc: Open facility_status_date: 2022-11-06 license_type_desc: Home Health Agency/Hospice license_category_desc: Hospice latitude: 41.32024000 longitude: -122.32734000 |