Bladen East Health and Rehab LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BLADEN EAST HEALTH AND REHAB LLC

Practice address

804 S Poplar St
Elizabethtown, NC 28337-9226

Phone

(910) 862-8100

NPI assigned

May 30, 2017

Last updated

Jul 21, 2022By 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

Mr. Hugh B Campbell III

Title

Member

Phone

(910) 332-4508

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497283899. Details of each certification follow.

• CCN 345267 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 345267

Legal name

BLADEN EAST HEALTH AND REHAB LLC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Nov 15, 1987

Last certification

Mar 6, 2025

Beds

120 (90 certified)

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Hedgehog Healthcare Associates

Most recent change of ownership

Jun 1, 2017

Organization structure

LLCProprietary

Incorporated

May 4, 2017 in NC

Enrollment address

804 S Poplar St
Elizabethtown, NC 28337-9226

Nursing home name

BLADEN EAST HEALTH AND REHAB

Listed as

Bladen East Health and RehabCCN 345267 · All quality measures

Overall star rating

2 of 5

Health inspections

3 of 5

Staffing

3 of 5

Quality measures

1 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Nov 15, 1987

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

9062.4 residents per day on average

Penalties (3 years)

2Fines totaling $13,381

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 2

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jose E Gonzalez, M.D.

  • Family Medicine Physician
  • Asheville, NC
  • NPI 1457347627
  NPD (past)

Affiliated clinicians 1

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

• Jose E Gonzalez, M.D.

  • Family Medicine Physician
  • Asheville, NC
  • NPI 1457347627

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1496102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1497283899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N FRONT ST STE 805",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284015089",
            "telephone_number": "910-332-4508",
            "fax_number": "910-332-4512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 S POPLAR ST",
            "city": "ELIZABETHTOWN",
            "state": "NC",
            "postal_code": "283379226",
            "telephone_number": "910-862-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLADEN EAST HEALTH AND REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "HUGH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "910-332-4508",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003860412",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bladen County Hospital
• Bladen County Hospital
• Bladen County Hospital (Womens Health Specialist for Bladen County)
• Bladen County Hospital
• Bladen County Schools
• Bladen Eye Center OD PLLC (Bladen Eye Center)
• Bladen Healthcare LLC (Bladen Express Care)
• Bladen Healthcare LLC (Phillips Internal Medicine)
• Bladen Healthcare LLC (Cape Fear Valley BMA White Lake)
• Bladen Healthcare LLC (CFV Bladen County Hospital-Swing Bed Unit)

• Skilled Nursing Facility in Elizabethtown, NC
• Providers in Elizabethtown, NC by specialty
• Skilled Nursing Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.