Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

12882 Shackelford Lane Inc

Organization Skilled Nursing Facility · NPI 1497903868

12882 Shackelford Lane Inc is a Skilled Nursing Facility in Garden Grove, California. Licensed in California. Registered with an NPI since 2008.

Licensed in
CA
In the registry since
2008
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

12882 Shackelford Ln
Garden Grove, CA 92841-5109
Phone: (714) 638-9470
Fax: (714) 638-4549
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 060000112 (CA)

Record details

NPI number1497903868
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rosalie Sanchez — Manager · (562) 930-0777
Other names Garden Grove Conv Hospital
NPI enumeratedAugust 28, 2008
Last updated in NPPESDecember 8, 2010
Mailing address4115 E Broadway, Long Beach, CA 90803-1532

Other providers in Garden Grove