Garden Grove Post Acute LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

GARDEN GROVE POST ACUTE LLC

Doing business as

The Grove Post Acute

Practice address

12332 Garden Grove Blvd
Garden Grove, CA 92843-1804

Phone

(714) 534-1041

NPI assigned

Jul 19, 2022

Last updated

Jul 15, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Adrian Dehghanmanesh

Title

Cfo

Phone

(714) 577-3880

Specialties & licenses 1

Addresses

Other names 1

• The Grove Post Acute Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1750016259. Details of each certification follow.

• CCN 555021 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 555021

Legal name

GARDEN GROVE POST ACUTE LLC

Doing business as

THE GROVE POST ACUTE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

May 1, 1980

Last certification

May 2, 2024

Beds

97

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Enrollment address

12332 Garden Grove Blvd
Garden Grove, CA 92843-1804

Nursing home name

THE GROVE POST ACUTE

Affiliated entity

DAVID JOHNSON

Listed as

The Grove Post AcuteCCN 555021 · All quality measures

Overall star rating

5 of 5

Health inspections

4 of 5

Staffing

4 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

May 1, 1980

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

9791.6 residents per day on average

Chain

David Johnson48 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

Locations

All disclosed owners & managing parties 12

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.

• Chaewon Song, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Garden Grove, CA
  • NPI 1972589687

  Adp of the SNF

  CMS ownership

Affiliated clinicians 4

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

• Robert Tae Ha, MD

  • Internal Medicine Physician
  • Garden Grove, CA
  • NPI 1750302188

  Nursing home

  Care Compare affiliation
• Daniel Kwon, DO

  • Geriatric Medicine (Family Medicine) Physician
  • Paramount, CA
  • NPI 1639736846

  Nursing home

  Care Compare affiliation
• Chaewon Song, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Garden Grove, CA
  • NPI 1972589687

  Nursing home

  Care Compare affiliation
• Jason Satria Wiguna, DO

  • Family Medicine Physician
  • Garden Grove, CA
  • NPI 1346731767

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752537600000",
    "number": "1750016259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12332 GARDEN GROVE BLVD",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431804",
            "telephone_number": "714-534-1041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12332 GARDEN GROVE BLVD",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431804",
            "telephone_number": "714-534-1041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN GROVE POST ACUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-19",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A",
        "authorized_official_last_name": "DEHGHANMANESH",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "714-577-3880"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Grove Post Acute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Grove Post Acute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Garden Grove Open MRI Center,Inc (Healthplus Imaging)
• Garden Grove Operations, LLC (Savant of Garden Grove)
• Garden Grove Outpatient Surgery Center
• Garden Grove Physical Therapy Inc
• Garden Grove Podiatry
• Garden Grove Primary Care Medicine, Inc.
• Garden Grove Surgical Center Inc
• Garden Grove Unified School District
• Garden Grove Unified School District
• Garden Grove Usd

• 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 Jul 15, 2025; 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.