Garden Grove Convalescent Hospital Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

060000112 Issued in CA

Legal business name

GARDEN GROVE CONVALESCENT HOSPITAL INC

Practice address

12882 Shackelford LN
Garden Grove, CA 92841-5109

Phone

(714) 638-9470

Fax

(714) 638-4549

NPI assigned

Sep 29, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. John Henry Sy

Title

VP of Revenue Management

Phone

(562) 930-0777

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• GARDEN GROVE CONVALESCENT HOSPITAL & GUEST HOME Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Skilled nursing facility certification: CCN 056145

Legal name

GARDEN GROVE CONVALESCENT HOSPITAL INC

Doing business as

GARDEN GROVE POST ACUTE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 1, 1971

Last certification

Mar 10, 2025

Beds

99

Ownership / control type

Corporation

Multi-facility organization

US Skilled Served

Organization structure

CorporationProprietary

Incorporated

Mar 9, 1989 in CA

Enrollment address

12882 Shackelford LN
Garden Grove, CA 92841-5109

Nursing home name

GARDEN GROVE POST ACUTE

Affiliated entity

THE MANDELBAUM FAMILY

Listed as

Garden Grove Post AcuteCCN 056145

Overall star rating

4 of 5

Health inspections

3 of 5

Staffing

4 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Jan 1, 1971

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

9993.0 residents per day on average

Chain

The Mandelbaum Family18 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 21

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Roger Nguyen Tran, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Laguna Hills, CA
  • NPI 1649234949

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 16

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• 1130 W la Palma Ave Inc

  • Skilled Nursing Facility
  • Anaheim, CA
  • NPI 1881681559

  The Bentzion Mandelbaum 2021 Irrevocable Gift Trust No. 2, The Janet Mandelbaum 2021 Irrevocable Gift Trust No 2, The Simcha Mandelbaum 2021 Irrevocable Gift Trust No. 2

  CMS ownership
• 1135 N Leisure CT Inc

  • Skilled Nursing Facility
  • Anaheim, CA
  • NPI 1033106703

  The Bentzion Mandelbaum 2021 Irrevocable Gift Trust No. 2, The Janet Mandelbaum 2021 Irrevocable Gift Trust No 2, The Simcha Mandelbaum 2021 Irrevocable Gift Trust No. 2

  CMS ownership
• 12232 Chapman Ave Inc

  • Skilled Nursing Facility
  • Garden Grove, CA
  • NPI 1437146032

  The Bentzion Mandelbaum 2021 Irrevocable Gift Trust No. 2, The Janet Mandelbaum 2021 Irrevocable Gift Trust No 2, The Simcha Mandelbaum 2021 Irrevocable Gift Trust No. 2

  CMS ownership
• 533 South Fairfax Avenue Inc

  • Skilled Nursing Facility
  • Los Angeles, CA
  • NPI 1639166242

  The Bentzion Mandelbaum 2021 Irrevocable Gift Trust No. 2, The Janet Mandelbaum 2021 Irrevocable Gift Trust No 2, The Simcha Mandelbaum 2021 Irrevocable Gift Trust No. 2

  CMS ownership
• 8520 Western Avenue Inc

  • Skilled Nursing Facility
  • Buena Park, CA
  • NPI 1497742167

  The Bentzion Mandelbaum 2021 Irrevocable Gift Trust No. 2, The Janet Mandelbaum 2021 Irrevocable Gift Trust No 2, The Simcha Mandelbaum 2021 Irrevocable Gift Trust No. 2

  CMS ownership
• Bellflower Post Acute LLC

  • Skilled Nursing Facility
  • Bellflower, CA
  • NPI 1154791895

  The Bentzion Mandelbaum 2021 Irrevocable Gift Trust No. 2, The Janet Mandelbaum 2021 Irrevocable Gift Trust No 2, The Simcha Mandelbaum 2021 Irrevocable Gift Trust No. 2

  CMS ownership
• Coastal View Healthcare Center LLC

  • Skilled Nursing Facility
  • Ventura, CA
  • NPI 1497011282

  The Bentzion Mandelbaum 2021 Irrevocable Gift Trust No. 2, The Janet Mandelbaum 2021 Irrevocable Gift Trust No 2, The Simcha Mandelbaum 2021 Irrevocable Gift Trust No. 2

  CMS ownership
• Community Convalescent Center of Montclair Inc

  • Skilled Nursing Facility
  • Montclair, CA
  • NPI 1851388458

  The Bentzion Mandelbaum 2021 Irrevocable Gift Trust No. 2, The Janet Mandelbaum 2021 Irrevocable Gift Trust No 2, The Simcha Mandelbaum 2021 Irrevocable Gift Trust No. 2

  CMS ownership
• Grand Valley Health Care Center LLC

  • Skilled Nursing Facility
  • Van Nuys, CA
  • NPI 1073950614

  The Bentzion Mandelbaum 2021 Irrevocable Gift Trust No. 2, The Janet Mandelbaum 2021 Irrevocable Gift Trust No 2, The Simcha Mandelbaum 2021 Irrevocable Gift Trust No. 2

  CMS ownership
• Long Beach Post Acute LLC

  • Skilled Nursing Facility
  • Long Beach, CA
  • NPI 1811390693

  The Bentzion Mandelbaum 2021 Irrevocable Gift Trust No. 2, The Janet Mandelbaum 2021 Irrevocable Gift Trust No 2, The Simcha Mandelbaum 2021 Irrevocable Gift Trust No. 2

  CMS ownership
• New Vista Nursing Operator, LLC

  • Skilled Nursing Facility
  • Sunland, CA
  • NPI 1154669794

  The Bentzion Mandelbaum 2021 Irrevocable Gift Trust No. 2, The Janet Mandelbaum 2021 Irrevocable Gift Trust No 2

  CMS ownership
• New Vista Pac Operator, LLC

  • Skilled Nursing Facility
  • Los Angeles, CA
  • NPI 1881932424

  The Bentzion Mandelbaum 2021 Irrevocable Gift Trust No. 2, The Janet Mandelbaum 2021 Irrevocable Gift Trust No 2, The Simcha Mandelbaum 2021 Irrevocable Gift Trust No. 2

  CMS ownership

Affiliated clinicians 9

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Minh Canh DO, M.D.

  • Nephrology Physician
  • Santa Ana, CA
  • NPI 1619964368

  Nursing home

  Care Compare affiliation
• Kelvin Mai, DO

  • Internal Medicine Physician
  • Santa Ana, CA
  • NPI 1326072612

  Nursing home

  Care Compare affiliation
• Dat Q Nguyen, MD

  • Internal Medicine Physician
  • Hawthorne, CA
  • NPI 1720092315

  Nursing home

  Care Compare affiliation
• Vuong Huu Nguyen, M.D.

  • Internal Medicine Physician
  • Westminster, CA
  • NPI 1093701690

  Nursing home

  Care Compare affiliation
• Hao Ngoc Thai, MD

  • Family Medicine Physician
  • Highland, CA
  • NPI 1194058255

  Nursing home

  Care Compare affiliation
• Mary Anne Tran, D.O.

  • Family Medicine Physician
  • Garden Grove, CA
  • NPI 1144255019

  Nursing home

  Care Compare affiliation
• Roger Nguyen Tran, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Laguna Hills, CA
  • NPI 1649234949

  Nursing home

  Care Compare affiliation
• Thuc Ba Tu, MD

  • Nephrology Physician
  • Long Beach, CA
  • NPI 1699979229

  Nursing home

  Care Compare affiliation
• Ky Trong Vu, M.D.

  • Hospitalist Physician
  • Fountain Valley, CA
  • NPI 1801812664

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779926400000",
    "number": "1295722809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4115 E BROADWAY",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908031532",
            "telephone_number": "562-930-0777",
            "fax_number": "562-930-0728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12882 SHACKELFORD LN",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928415109",
            "telephone_number": "714-638-9470",
            "fax_number": "714-638-4549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN GROVE CONVALESCENT HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-29",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A",
        "authorized_official_last_name": "SY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "VP OF REVENUE MANAGEMENT",
        "authorized_official_telephone_number": "562-930-0777",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "060000112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT06145H",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "GARDEN GROVE CONVALESCENT HOSPITAL & GUEST HOME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marina Garcia, M.A., BCBA
• Nicholas Garcia
• Priscilla Garcia
• Veronica Isabella Garcia
• Zugey Y. Garcia
• Garden Grove Foot and Ankle Clinic
• Garden Grove Guest Home LLC
• Garden Grove Medical and Dental Surgery Center, LLC
• Garden Grove Medical Group Inc
• Garden Grove Medical Investors LTD

• Skilled Nursing Facility in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.