12882 Shackelford Lane Inc
NPI 1497903868 · Skilled Nursing Facility · Garden Grove, CA
12882 Shackelford Lane Inc is a Skilled Nursing Facility organization in Garden Grove, CA (NPI 1497903868).
Provider details
- NPI number
- 1497903868
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Rosalie Sanchez, Manager(562) 930-0777
- License
- 060000112 (CA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Garden Grove Conv Hospital
Registry dates
- Enumerated
- 2008-08-28
- Last updated
- 2010-12-08
Frequently asked questions
- What is 12882 Shackelford Lane Inc's NPI number?
- 12882 Shackelford Lane Inc's National Provider Identifier (NPI) is 1497903868, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 12882 Shackelford Lane Inc?
- 12882 Shackelford Lane Inc is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is 12882 Shackelford Lane Inc located?
- 12882 Shackelford Lane Inc's practice location on file with NPPES is 12882 Shackelford Ln, Garden Grove, CA 92841-5109.
- What is 12882 Shackelford Lane Inc's phone number?
- The practice phone number listed in the NPPES registry for 12882 Shackelford Lane Inc is (714) 638-9470.
- Who is the authorized official for 12882 Shackelford Lane Inc?
- The authorized official listed on 12882 Shackelford Lane Inc's NPPES record is Rosalie Sanchez, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 12882 Shackelford Lane Inc's NPI active?
- Yes — 12882 Shackelford Lane Inc's NPI (1497903868) is active in the NPPES registry as of the last update on 2010-12-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.