St James Home Health Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ST JAMES HOME HEALTH CARE LLC

Practice address

2235 E Flamingo Rd Ste 145
Las Vegas, NV 89119-0806

Phone

(909) 573-4720

NPI assigned

Dec 28, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Anita Flores

Title

Chief Operating Officer

Phone

(909) 573-4720

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Home health agency certification: CCN 297306

Legal name

ST JAMES HOME HEALTH CARE LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 23, 2021

Last certification

Dec 23, 2021

Organization structure

LLCProprietary

Incorporated

Apr 16, 2020 in NV

Enrollment address

2626 S Rainbow Blvd
# 203A
Las Vegas, NV 89146-4005

Listed as

St James Home Health Care LLCCCN 297306

Overall star rating

1.5 of 5

Ownership

-

Certified

Dec 23, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 1

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

Affiliated clinicians 1

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

• Stephen L Tam, MD

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1689738478

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1609113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609113600000",
    "number": "1316534134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2235 E FLAMINGO RD STE 145",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891190806",
            "telephone_number": "909-573-4720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2235 E FLAMINGO RD STE 145",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891190806",
            "telephone_number": "909-573-4720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JAMES HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-28",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "ANITA",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "909-573-4720",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St Benedict
• Brad St Clair
• St Clare Medical Services Inc
• Deanna St Cyr, FNP-BC
• Charles Randolph St Hill, M.D., MSC
• St Jean Senior Care
• Christine St Jean
• Robert Ilagan St Jean, PMHNP-BC
• St Jeremiah LLC
• St Jeremiah LLC

• 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 Dec 28, 2020; 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.