GARDEN GROVE CONV HOSPITAL
NPI 1497903868
Skilled Nursing Facility in Garden Grove, CA

Active since August 28, 2008
12882 SHACKELFORD LN, GARDEN GROVE, CA 92841(714) 638-9470(714) 638-4549 Get Directions Write a Review

NPPES record last updated: December 8, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Garden Grove Conv Hospital NPPES

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

GARDEN GROVE CONV HOSPITAL (NPI 1497903868) is a healthcare organization registered as a skilled nursing facility in Garden Grove, California and active in the NPI registry since August 2008. The organization lists Rosalie Piacenti Sanchez, Manager, as its authorized official.

NPPES Registry Identity

NPI1497903868
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business Name12882 SHACKELFORD LANE INC
Location Address12882 SHACKELFORD LNGarden Grove, CA 92841-5109
Mailing Address4115 E BroadwayLong Beach, CA 90803-1532 · (562) 930-0777 · Fax (562) 930-0728
Fax(714) 638-4549
Organization SubpartNo
Authorized OfficialRosalie Piacenti SanchezManager · (562) 930-0777
Enumeration DateAugust 28, 2008
Last NPPES UpdateDecember 8, 2010
NPI 1497903868 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

Other Names 1

Doing Business AsGarden Grove Conv Hospital

Other Identifiers 2

Medicare NSC5412780001CA
MedicaidZZT06145HCA

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.

Skilled Nursing Facility
12882 SHACKELFORD LN
GARDEN GROVE, CA 92841
Assisted Living Facility
12882 SHACKELFORD LN
GARDEN GROVE, CA 92841
Occupational Therapist (Physical Rehabilitation)
12882 SHACKELFORD LN
GARDEN GROVE, CA 92841

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 12882 Shackelford Lane Inc's NPI number?

The NPI number for 12882 Shackelford Lane Inc is 1497903868. It was assigned to this organization in the NPPES registry on August 28, 2008. The provider is doing business as Garden Grove Conv Hospital.

Where is 12882 Shackelford Lane Inc located?

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

What is 12882 Shackelford Lane Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for 12882 Shackelford Lane Inc was last updated on December 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.