Provider Demographics
NPI:1376542878
Name:REX HOSPITAL, INC.
Entity Type:Organization
Organization Name:REX HOSPITAL, INC.
Other - Org Name:UNC REX REHABILITATION AND NURSING CARE CENTER OF RALEIGH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:MATHEW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-784-1440
Mailing Address - Street 1:4210 LAKE BOONE TRL
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27607-6521
Mailing Address - Country:US
Mailing Address - Phone:919-784-6600
Mailing Address - Fax:919-784-6623
Practice Address - Street 1:4210 LAKE BOONE TRL
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27607-6521
Practice Address - Country:US
Practice Address - Phone:919-784-6600
Practice Address - Fax:919-784-6623
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-18
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCH0065310400000X, 313M00000X, 314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC119744OtherWELLPATH
NC7152480OtherUNITED MEDICARE COMPLETE
NC0093UOtherSTATE HEALTH PLAN OF NC
NC3415369Medicaid
NC3416062Medicaid
NCAN4793114001OtherCIGNA HEALTHCARE
NC33015OtherPARTNERS
NC0093UOtherBLUE CROSS OF NC
NC7152480OtherUNITED HEALTHCARE
NEXXXXXXXX9260OtherAARP
NCAN4793114001OtherCIGNA HEALTHCARE
NC3415369Medicaid
NC3416062Medicaid
NC=========OtherAETNA
NC=========OtherOXFORD
NC=========005OtherHUMANA
NC0093UOtherBLUE CROSS OF NC
NEXXXXXXXX9260OtherAARP
NC=========OtherCOMBINE INSURANCE