Table # Values
facility_profile_attributes 1 facility_desc: GENTIVA
site_address1: 4216 KIERNAN AVE
site_address2: STE 102
site_city: MODESTO
site_zip: 95356
site_x_coordinate: -121.072852
site_y_coordinate: 37.710417
oshpd_id: 406500020
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
license_number: 550000790
facility_level_desc: Branch
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: 406500020
facility_name: GENTIVA
license_num: 550000790
facility_level_desc: Branch
dba_address1: 4216 KIERNAN AVE
dba_city: MODESTO
dba_zip_code: 95356
county_code: 50
county_name: Stanislaus
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2023-12-14
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 37.71041670
longitude: -121.07285180
licensed_facility_listing_10 1 oshpd_id: 406500020
facility_name: GENTIVA
license_num: 550000790
facility_level_desc: Branch
dba_address1: 4216 KIERNAN AVE
dba_city: MODESTO
dba_zip_code: 95356
county_code: 50
county_name: Stanislaus
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2023-12-14
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 37.71041670
longitude: -121.07285180
licensed_facility_listing_18 1 oshpd_id: 406500020
facility_name: GENTIVA
license_num: 550000790
facility_level_desc: Branch
dba_address1: 4216 KIERNAN AVE
dba_city: MODESTO
dba_zip_code: 95356
county_code: 50
county_name: Stanislaus
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2023-12-14
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 0.00000000
longitude: 0.00000000
licensed_healthcare_facility_listing 1 period: current
oshpd_id: 406500020
facility_name: GENTIVA
license_num: 550000790
facility_level_desc: Branch
dba_address1: 4216 KIERNAN AVE
dba_city: MODESTO
dba_zip_code: 95356
county_code: 50
county_name: Stanislaus
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2023-12-14
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 37.71041670
longitude: -121.07285180