Table # Values
facility_profile_attributes 1 facility_desc: KAISER FOUNDATION HOSPITAL HOSPICE - VALLEJO
site_address1: 975 SERENO DR
site_address2: ROOM BAYVIEW - 1112
site_city: VALLEJO
site_zip: 94589
site_x_coordinate: -122.247183
site_y_coordinate: 38.125907
oshpd_id: 406484032
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
license_number: 100000739
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: 406484032
facility_name: KAISER FOUNDATION HOSPITAL HOSPICE - VALLEJO
license_num: 100000739
facility_level_desc: Parent Facility
dba_address1: 1761 Broadway St
dba_city: Vallejo
dba_zip_code: 94589
county_code: 48
county_name: Solano
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2017-01-01
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 38.13036830
longitude: -122.25378950

licensed_facility_listing_02 1 oshpd_id: 406484032
facility_name: KAISER VALLEJO HOSPICE
license_num: 100000739
facility_level_desc: Parent Facility
dba_address1: 975 SERENO DR
dba_city: VALLEJO
dba_zip_code: 94589
county_code: 48
county_name: SOLANO
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 01/01/1997
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
longitude: -122.24761
latitude: 38.12839

licensed_facility_listing_03 1 oshpd_id: 406484032
facility_name: KAISER FOUNDATION HOSPITAL HOSPICE - VALLEJO
license_num: 100000739
facility_level_desc: Parent Facility
dba_address1: 1761 BROADWAY ST
dba_city: VALLEJO
dba_zip_code: 94589
county_code: 48
county_name: SOLANO
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 1/1/2017
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 38.13077
longitude: -122.2523

licensed_facility_listing_04 1 oshpd_id: 406484032
facility_name: KAISER FOUNDATION HOSPITAL HOSPICE - VALLEJO
license_num: 100000739
facility_level_desc: Parent Facility
dba_address1: 1761 BROADWAY ST
dba_city: VALLEJO
dba_zip_code: 94589
county_code: 48
county_name: SOLANO
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2017-01-01
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 38.13077000
longitude: -122.25230000

licensed_facility_listing_05 1 oshpd_id: 406484032
facility_name: KAISER FOUNDATION HOSPITAL HOSPICE - VALLEJO
license_num: 100000739
facility_level_desc: Parent Facility
dba_address1: 1761 BROADWAY ST
dba_city: VALLEJO
dba_zip_code: 94589
county_code: 48
county_name: SOLANO
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2017-01-01
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 38.13077000
longitude: -122.25230000

licensed_facility_listing_06 1 oshpd_id: 406484032
facility_name: KAISER FOUNDATION HOSPITAL HOSPICE - VALLEJO
license_num: 100000739
facility_level_desc: Parent Facility
dba_address1: 1761 Broadway St
dba_city: Vallejo
dba_zip_code: 94589
county_code: 48
county_name: Solano
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2017-01-01
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 38.13077000
longitude: -122.25230000

licensed_facility_listing_07 1 oshpd_id: 406484032
facility_name: KAISER FOUNDATION HOSPITAL HOSPICE - VALLEJO
license_num: 100000739
facility_level_desc: Parent Facility
dba_address1: 1761 Broadway St
dba_city: Vallejo
dba_zip_code: 94589
county_code: 48
county_name: Solano
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2017-01-01
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 38.13077000
longitude: -122.25230000

licensed_facility_listing_08 1 oshpd_id: 406484032
facility_name: KAISER FOUNDATION HOSPITAL HOSPICE - VALLEJO
license_num: 100000739
facility_level_desc: Parent Facility
dba_address1: 1761 Broadway St
dba_city: Vallejo
dba_zip_code: 94589
county_code: 48
county_name: Solano
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2017-01-01
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 38.13077000
longitude: -122.25230000

licensed_facility_listing_09 1 oshpd_id: 406484032
facility_name: KAISER FOUNDATION HOSPITAL HOSPICE - VALLEJO
license_num: 100000739
facility_level_desc: Parent Facility
dba_address1: 1761 Broadway St
dba_city: Vallejo
dba_zip_code: 94589
county_code: 48
county_name: Solano
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2017-01-01
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 38.13036830
longitude: -122.25378950

licensed_facility_listing_10 1 oshpd_id: 406484032
facility_name: KAISER FOUNDATION HOSPITAL HOSPICE - VALLEJO
license_num: 100000739
facility_level_desc: Parent Facility
dba_address1: 1761 Broadway St
dba_city: Vallejo
dba_zip_code: 94589
county_code: 48
county_name: Solano
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2017-01-01
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 38.13036830
longitude: -122.25378950

licensed_facility_listing_12 1 oshpd_id: 406484032
facility_name: KAISER FOUNDATION HOSPITAL HOSPICE - VALLEJO
license_num: 100000739
facility_level_desc: Parent Facility
dba_address1: 1761 BROADWAY ST
dba_city: VALLEJO
dba_zip_code: 94589
county_code: 48
county_name: SOLANO
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2017-01-01
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 38.13077000
longitude: -122.25230000

licensed_facility_listing_13 1 oshpd_id: 406484032
facility_name: KAISER FOUNDATION HOSPITAL HOSPICE - VALLEJO
license_num: 100000739
facility_level_desc: Parent Facility
dba_address1: 1761 BROADWAY ST
dba_city: VALLEJO
dba_zip_code: 94589
county_code: 48
county_name: SOLANO
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2017-01-01
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 38.13077000
longitude: -122.25230000

licensed_facility_listing_14 1 oshpd_id: 406484032
facility_name: KAISER FOUNDATION HOSPITAL HOSPICE - VALLEJO
license_num: 100000739
facility_level_desc: Parent Facility
dba_address1: 1761 Broadway St
dba_city: Vallejo
dba_zip_code: 94589
county_code: 48
county_name: Solano
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2017-01-01
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 38.13077000
longitude: -122.25230000

licensed_facility_listing_15 1 oshpd_id: 406484032
facility_name: KAISER FOUNDATION HOSPITAL HOSPICE - VALLEJO
license_num: 100000739
facility_level_desc: Parent Facility
dba_address1: 1761 Broadway St
dba_city: Vallejo
dba_zip_code: 94589
county_code: 48
county_name: Solano
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2017-01-01
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 38.13077000
longitude: -122.25230000

licensed_facility_listing_16 1 oshpd_id: 406484032
facility_name: KAISER FOUNDATION HOSPITAL HOSPICE - VALLEJO
license_num: 100000739
facility_level_desc: Parent Facility
dba_address1: 1761 Broadway St
dba_city: Vallejo
dba_zip_code: 94589
county_code: 48
county_name: Solano
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2017-01-01
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 38.13077000
longitude: -122.25230000

licensed_facility_listing_17 1 oshpd_id: 406484032
facility_name: KAISER FOUNDATION HOSPITAL HOSPICE - VALLEJO
license_num: 100000739
facility_level_desc: Parent Facility
dba_address1: 1761 Broadway St
dba_city: Vallejo
dba_zip_code: 94589
county_code: 48
county_name: Solano
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2017-01-01
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 38.13077000
longitude: -122.25230000

licensed_facility_listing_18 1 oshpd_id: 406484032
facility_name: KAISER FOUNDATION HOSPITAL HOSPICE - VALLEJO
license_num: 100000739
facility_level_desc: Parent Facility
dba_address1: 1761 Broadway St
dba_city: Vallejo
dba_zip_code: 94589
county_code: 48
county_name: Solano
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2017-01-01
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 38.13036830
longitude: -122.25378950

licensed_healthcare_facility_listing 14 period: current
oshpd_id: 406484032
facility_name: KAISER FOUNDATION HOSPITAL HOSPICE - VALLEJO
license_num: 100000739
facility_level_desc: Parent Facility
dba_address1: 1761 Broadway St
dba_city: Vallejo
dba_zip_code: 94589
county_code: 48
county_name: Solano
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2017-01-01
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 38.13036830
longitude: -122.25378950

period: 2016-12-31
oshpd_id: 406484032
facility_name: KAISER VALLEJO HOSPICE
license_num: 100000739
facility_level_desc: Parent Facility
dba_address1: 975 SERENO DR
dba_city: VALLEJO
dba_zip_code: 94589
county_code: 48
county_name: SOLANO
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 1997-01-01
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 38.12839000
longitude: -122.24761000

period: 2017-12-31
oshpd_id: 406484032
facility_name: KAISER FOUNDATION HOSPITAL HOSPICE - VALLEJO
license_num: 100000739
facility_level_desc: Parent Facility
dba_address1: 1761 BROADWAY ST
dba_city: VALLEJO
dba_zip_code: 94589
county_code: 48
county_name: SOLANO
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2017-01-01
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 38.13077000
longitude: -122.25230000

period: 2018-12-31
oshpd_id: 406484032
facility_name: KAISER FOUNDATION HOSPITAL HOSPICE - VALLEJO
license_num: 100000739
facility_level_desc: Parent Facility
dba_address1: 1761 BROADWAY ST
dba_city: VALLEJO
dba_zip_code: 94589
county_code: 48
county_name: SOLANO
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2017-01-01
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 38.13077000
longitude: -122.25230000

period: 2019-12-31
oshpd_id: 406484032
facility_name: KAISER FOUNDATION HOSPITAL HOSPICE - VALLEJO
license_num: 100000739
facility_level_desc: Parent Facility
dba_address1: 1761 BROADWAY ST
dba_city: VALLEJO
dba_zip_code: 94589
county_code: 48
county_name: SOLANO
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2017-01-01
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 38.13077000
longitude: -122.25230000

period: 2020-12-31
oshpd_id: 406484032
facility_name: KAISER FOUNDATION HOSPITAL HOSPICE - VALLEJO
license_num: 100000739
facility_level_desc: Parent Facility
dba_address1: 1761 Broadway St
dba_city: Vallejo
dba_zip_code: 94589
county_code: 48
county_name: Solano
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2017-01-01
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 38.13077000
longitude: -122.25230000

period: 2021-12-31
oshpd_id: 406484032
facility_name: KAISER FOUNDATION HOSPITAL HOSPICE - VALLEJO
license_num: 100000739
facility_level_desc: Parent Facility
dba_address1: 1761 Broadway St
dba_city: Vallejo
dba_zip_code: 94589
county_code: 48
county_name: Solano
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2017-01-01
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 38.13077000
longitude: -122.25230000

period: 2022-12-31
oshpd_id: 406484032
facility_name: KAISER FOUNDATION HOSPITAL HOSPICE - VALLEJO
license_num: 100000739
facility_level_desc: Parent Facility
dba_address1: 1761 Broadway St
dba_city: Vallejo
dba_zip_code: 94589
county_code: 48
county_name: Solano
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2017-01-01
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 38.13077000
longitude: -122.25230000

period: 2018-06-30
oshpd_id: 406484032
facility_name: KAISER FOUNDATION HOSPITAL HOSPICE - VALLEJO
license_num: 100000739
facility_level_desc: Parent Facility
dba_address1: 1761 BROADWAY ST
dba_city: VALLEJO
dba_zip_code: 94589
county_code: 48
county_name: SOLANO
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2017-01-01
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 38.13077000
longitude: -122.25230000

period: 2019-06-30
oshpd_id: 406484032
facility_name: KAISER FOUNDATION HOSPITAL HOSPICE - VALLEJO
license_num: 100000739
facility_level_desc: Parent Facility
dba_address1: 1761 BROADWAY ST
dba_city: VALLEJO
dba_zip_code: 94589
county_code: 48
county_name: SOLANO
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2017-01-01
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 38.13077000
longitude: -122.25230000

period: 2020-06-30
oshpd_id: 406484032
facility_name: KAISER FOUNDATION HOSPITAL HOSPICE - VALLEJO
license_num: 100000739
facility_level_desc: Parent Facility
dba_address1: 1761 Broadway St
dba_city: Vallejo
dba_zip_code: 94589
county_code: 48
county_name: Solano
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2017-01-01
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 38.13077000
longitude: -122.25230000

period: 2021-06-30
oshpd_id: 406484032
facility_name: KAISER FOUNDATION HOSPITAL HOSPICE - VALLEJO
license_num: 100000739
facility_level_desc: Parent Facility
dba_address1: 1761 Broadway St
dba_city: Vallejo
dba_zip_code: 94589
county_code: 48
county_name: Solano
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2017-01-01
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 38.13077000
longitude: -122.25230000

period: 2022-06-30
oshpd_id: 406484032
facility_name: KAISER FOUNDATION HOSPITAL HOSPICE - VALLEJO
license_num: 100000739
facility_level_desc: Parent Facility
dba_address1: 1761 Broadway St
dba_city: Vallejo
dba_zip_code: 94589
county_code: 48
county_name: Solano
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2017-01-01
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 38.13077000
longitude: -122.25230000

period: 2023-06-30
oshpd_id: 406484032
facility_name: KAISER FOUNDATION HOSPITAL HOSPICE - VALLEJO
license_num: 100000739
facility_level_desc: Parent Facility
dba_address1: 1761 Broadway St
dba_city: Vallejo
dba_zip_code: 94589
county_code: 48
county_name: Solano
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2017-01-01
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 38.13077000
longitude: -122.25230000