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GARDEN GROVE CONVALESCENT HOSPITAL INC
NPI 1295722809
Skilled Nursing Facility in Garden Grove, CA

Active since September 29, 2005CLIA 05D0666301 · Waiver
5/5
Overall Rating
12882 SHACKELFORD LN, GARDEN GROVE, CA 92841(714) 638-9470(714) 638-4549 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Garden Grove Convalescent Hospital Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GARDEN GROVE CONVALESCENT HOSPITAL INC (NPI 1295722809), doing business as Garden Grove Convalescent Hospital & Guest Home, is a healthcare organization registered as a skilled nursing facility in Garden Grove, California and active in the NPI registry since September 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists John Henry Sy, Vp Of Revenue Management, as its authorized official.

NPPES Registry Identity

NPI1295722809
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameGARDEN GROVE CONVALESCENT HOSPITAL INC
Location Address12882 SHACKELFORD LNGarden Grove, CA 92841-5109
Mailing Address4115 E BroadwayLong Beach, CA 90803-1532 · (562) 930-0777 · Fax (562) 930-0728
Phone(714) 638-9470
Fax(714) 638-4549
Organization SubpartNo
Authorized OfficialJohn Henry SyVp Of Revenue Management · (562) 930-0777
Enumeration DateSeptember 29, 2005
Last NPPES UpdateMay 28, 2026
NPPES CertifiedMay 28, 2026
✔ NPI 1295722809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License✔ Licensed in CA · 060000112
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
12882 SHACKELFORD LN, Garden Grove, CA 92841
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Other Names 1

Doing Business AsGarden Grove Convalescent Hospital & Guest Home

Other Identifiers 1

MedicaidZZT06145HCA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0666301

Garden Grove Convalescent · Garden Grove, CA
Active · expires Aug 31, 2026
CLIA Number05D0666301
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDr. Dat Q. Nguyen
Laboratory Phone(714) 638-9470
Laboratory LocationGarden Grove Convalescent12882 Shackelford Lane, Garden Grove, CA 92841
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Garden Grove Post Acute (CMS certification number 056145), from CMS Care Compare.

Garden Grove Post Acute

Nursing home · Garden Grove, CA
5/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number056145
Certified Beds99 beds93 residents per day on average
Medicare & Medicaid Participant SinceJanuary 1, 1971
Resident & Family CouncilResident and family councils
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
5/5
Long-Stay Quality
Quality of care delivered to long-term residents.
5/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
5/5
Staffing
Based on nursing staff hours relative to resident needs.
3/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
62
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.39 · LPN 1.48 · RN 0.36
4.23 hrs per resident per day
Weekend Nurse Staffing
3.73 hrs per resident per day
Physical Therapist Staffing
0.03 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
25.6%
Registered Nurse Turnover
45.5%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
1
Substantiated Complaints
6
Infection-Control Citations
1
Fines
0
Medicare Payment Denials
0
Total Penalties
0
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GARDEN GROVE GUEST HOME LLC
Assisted Living Facility
12882 SHACKELFORD LN
GARDEN GROVE, CA 92841
Orange County (323) 806-0786
12882 SHACKELFORD LANE INC
Skilled Nursing Facility
12882 SHACKELFORD LN
GARDEN GROVE, CA 92841
Orange County (714) 638-9470
SHERWIN GANDIA COTA
Occupational Therapist (Physical Rehabilitation)
12882 SHACKELFORD LN
GARDEN GROVE, CA 92841
Orange County (714) 638-9470

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Garden Grove Convalescent Hospital Inc's NPI number?

The NPI number for Garden Grove Convalescent Hospital Inc is 1295722809. It was assigned to this organization in the NPPES registry on September 29, 2005. The provider is doing business as Garden Grove Convalescent Hospital & Guest Home.

Where is Garden Grove Convalescent Hospital Inc located?

Garden Grove Convalescent Hospital Inc is located at 12882 Shackelford Ln, Garden Grove, CA 92841. The listed phone number is (714) 638-9470.

What is Garden Grove Convalescent Hospital Inc's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Garden Grove Convalescent Hospital Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0666301) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Garden Grove Convalescent Hospital Inc a Medicare-certified nursing home?

Yes. Garden Grove Post Acute is a Medicare-certified nursing home with 99 certified beds.

What quality rating does Garden Grove Convalescent Hospital Inc have?

CMS rates Garden Grove Post Acute 5 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Garden Grove Convalescent Hospital Inc was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.