Garden Grove Conv Hospital

LBN: 12882 Shackelford Lane Inc
Garden Grove Conv Hospital is an health care organization with primary practice located at 12882 Shackelford Ln , Garden Grove CA 92841-5109. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. 12882 Shackelford Lane Inc can be contacted via phone (714) 638-9470, or through Sanchez, Rosalie Piacenti via phone (562) 930-0777.

Contact Information

Primary practice address
12882 Shackelford Ln Garden Grove CA 92841-5109
Phone: (714) 638-9470
Fax: (714) 638-4549
Website:
Map and Directions
Authorized official contact:
Name: Sanchez, Rosalie Piacenti
Phone: (562) 930-0777

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 060000112 California

Profile Details

NPI number 1497903868
LBN Legal business name 12882 Shackelford Lane Inc
DBA Doing business as Garden Grove Conv Hospital
Authorized official Sanchez, Rosalie Piacenti
Entity Organization
Organization subpart 1 No
Enumeration date Aug 28th, 2008
Last updated Dec 8th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497903868 NPPES
California MEDICAID ZZT06145H

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