St John Home Health LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ST JOHN HOME HEALTH LLC

Practice address

3230 S Buffalo Dr Ste 107
Las Vegas, NV 89117-2506

Phone

(702) 970-7530

Fax

(702) 843-0920

NPI assigned

Sep 4, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Arthur John Pombuena, RN

Title

Administator

Phone

(702) 970-7530

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Home health agency certification: CCN 297386

Legal name

ST JOHN HOME HEALTH LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Aug 20, 2025

Last certification

Aug 5, 2025

Organization structure

LLCProprietary

Incorporated

Sep 12, 2022 in NV

Enrollment address

3230 S Buffalo Dr
Ste 107 Unit 9
Las Vegas, NV 89117-2506

Listed as

St John Home Health LLCCCN 297386

Ownership

-

Certified

Aug 20, 2025

Medicare certification status

ActiveFrom the Provider of Services file

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 4

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

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

{
    "created_epoch": "1693785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693785600000",
    "number": "1114703444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 S BUFFALO DR STE 107-9",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172505",
            "telephone_number": "702-970-7530",
            "fax_number": "702-843-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3230 S BUFFALO DR STE 107",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172506",
            "telephone_number": "702-970-7530",
            "fax_number": "702-843-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOHN HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-04",
        "last_updated": "2023-09-04",
        "certification_date": "2023-08-08",
        "status": "A",
        "authorized_official_last_name": "POMBUENA",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "ADMINISTATOR",
        "authorized_official_telephone_number": "702-970-7530",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Christine St Jean
• Robert Ilagan St Jean, PMHNP-BC
• St Jeremiah LLC
• St Jeremiah LLC
• St Jude Home Care, Inc
• St Jude Sleep Solutions
• Michael David St Laurent, DMD
• Justin T St Louis
• Marc Miller St Louis

• Home Health Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Home Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2023; 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.