GARDEN GROVE CONVALESCENT HOSPITAL INC (NPI# 1295722809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295722809 |
| Entity Type | Organization |
| Organization Name | GARDEN GROVE CONVALESCENT HOSPITAL INC |
| Other Organization Name | GARDEN GROVE CONVALESCENT HOSPITAL & GUEST HOME |
| Practice Address |
12882 Shackelford Ln Garden Grove CA 92841-5109 |
| Mailing Address |
4115 E Broadway Long Beach CA 90803-1532 |
| Practice Telephone | 7146389470 |
| Practice Fax Number | 7146384549 |
| Mailing Telephone | 5629300777 |
| Mailing Fax Number | 5629300728 |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2010-01-05 |
| Authorized Official Name | ROSALIE PIACENTI SANCHEZ (MANAGER) |
| Authorized Official Telephone | 5629300777 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 060000112 | CA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ZZT06145H | 05 |
| Other Name | Type Code |
|---|---|
| GARDEN GROVE CONVALESCENT HOSPITAL & GUEST HOME | Doing Business As Name - Organization |
| Street Address |
12882 SHACKELFORD LN |
| City | GARDEN GROVE |
| State | CA |
| Zip Code | 92841-5109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679939714 | Sherwin Gandia | Occupational Therapist | 12882 Shackelford Ln, Garden Grove, CA 92841-5109 | 2016-01-05 |
| 1497903868 | 12882 Shackelford Lane Inc | Skilled Nursing Facility | 12882 Shackelford Ln, Garden Grove, CA 92841-5109 | 2008-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174179980 | Erica R Jackson | Technician | 11355 Desmond St, Garden Grove, CA 92841 | 2019-08-16 |
| 1184107500 | Tat Pharmacy, Inc | Pharmacy | 9153 Garden Grove Blvd., Garden Grove, CA 92841 | 2018-09-11 |
| 1083119002 | Hoang Dmd Dental Inc. | Dentist | 9639 Chapman Ave, Garden Grove, CA 92841 | 2018-03-30 |
| 1699282434 | Rubi Esmeralda Tapia | Social Worker | 7441 Lincoln Way Ste 250, Garden Grove, CA 92841 | 2018-01-02 |
| 1144739830 | Bryan Nguyen | Spec/Tech, Health Info | 9862 Chapman Ave., Ste. B, Garden Grove, CA 92841 | 2017-09-25 |
| 1649796111 | Jesus Torres | Case Manager/Care Coordinator | 9862 Chapman Ave Suite B, Garden Grove, CA 92841 | 2017-08-16 |
| 1477005312 | Naincee Tolani | Occupational Therapist | 12881 Knott Street, Suite 103, Garden Grove, CA 92841 | 2016-10-26 |
| 1114385838 | Quyen Do | Case Manager/Care Coordinator | 9862 Chapman Ave, Ste. B, Garden Grove, CA 92841 | 2016-02-09 |
| 1629331657 | Superior Medical Management, LLC | Clinic/Center | 9862 Lemore Drive, Garden Grove, CA 92841 | 2012-06-25 |
| 1376818344 | Meghan Lyyn-deibert Pickens | Behavioral Analyst | 7291 Garden Grove Blvd. Suite F, Garden Grove, CA 92841 | 2012-03-09 |
| Find all providers in zip 92841 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (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. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033436878 | Caremeridian, LLC | Skilled Nursing Facility | 12461 Springdale St, Garden Grove, CA 92845-2240 | 2010-05-03 |
| 1477659399 | Garden Park Care Center LLC | Skilled Nursing Facility | 12681 Haster St, Garden Grove, CA 92840 | 2006-09-16 |
| 1811923303 | 12072 Trask, Inc. | Skilled Nursing Facility | 12072 Trask Ave, Garden Grove, CA 92843-3821 | 2006-06-25 |
| 1245277334 | Garden Grove Medical Investors Ltd | Skilled Nursing Facility | 12332 Garden Grove Blvd, Garden Grove, CA 92843-1804 | 2006-05-31 |
| 1326037847 | Alta Care Center, LLC | Skilled Nursing Facility | 13075 Blackbird Street, Garden Grove, CA 92843-2902 | 2005-10-18 |
| 1437146032 | 12232 Chapman Ave Inc | Skilled Nursing Facility | 12232 Chapman Ave, Garden Grove, CA 92840-3717 | 2005-09-29 |
| 1336541697 | Hong S. Kim, Md, Inc | Skilled Nursing Facility | 12665 Garden Grove Blvd Ste 503, Garden Grove, CA 92843-1919 | 2014-09-18 |
| 1497903868 | 12882 Shackelford Lane Inc | Skilled Nursing Facility | 12882 Shackelford Ln, Garden Grove, CA 92841-5109 | 2008-08-28 |
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| 1528667581 | Winterfest Medical Services Corporation | Skilled Nursing Facility | 8758 Winterfest Way, Elk Grove, CA 95624-1295 | 2020-10-21 |
| 1689272528 | Orchards Hc LLC | Skilled Nursing Facility | 1 Amistad Drive, Rancho Mission Viejo, CA 92694 | 2020-10-13 |
| 1083223481 | Santa Clarita Congregate Living Inc | Skilled Nursing Facility | 29830 Wisteria Valley Rd, Santa Clarita, CA 91387-1954 | 2020-07-31 |
| 1033737051 | Beautiful Homes Residential Care Inc | Skilled Nursing Facility | 22525 Cerise Ave, Torrance, CA 90505-2913 | 2020-07-07 |
| 1043837966 | Desert Ridge Transitional Care Center, Lp | Skilled Nursing Facility | 13300 11th Avenue, Victorville, CA 92395 | 2020-06-26 |
| 1881210847 | Ghc of Tem - Snf, LLC | Skilled Nursing Facility | 44320 Campanula Way, Temecula, CA 92592-7903 | 2020-06-24 |
| 1861018327 | Covina Clhf Corporation | Skilled Nursing Facility | 1411 S Sandia Ave, West Covina, CA 91790-3309 | 2020-06-22 |
| 1780204024 | Neighbor Care Congregate Home, Inc. | Skilled Nursing Facility | 3249 Gerald Dr, Newbury Park, CA 91320-2948 | 2020-04-16 |
| 1558998047 | Sunflower Clhf, Inc. | Skilled Nursing Facility | 1058 Ruberta Ave, Glendale, CA 91201-2105 | 2020-03-24 |
| Find all providers with the same taxonomy | ||||
| City | GARDEN GROVE |
| Zip Code | 92841 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.