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ST JOHN HOME HEALTH LLC
NPI 1114703444
Home Health in Las Vegas, NV

Active since September 04, 2023CLIA 29D2342608 · Waiver
3230 S BUFFALO DR STE 107, LAS VEGAS, NV 89117(702) 970-7530(702) 843-0920 Get Directions Write a Review

NPPES record last updated: September 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About St John Home Health Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST JOHN HOME HEALTH LLC (NPI 1114703444) is a healthcare organization registered as a home health in Las Vegas, Nevada and active in the NPI registry since September 2023. The organization holds a CLIA Waiver certificate valid through April 21, 2028 and lists Arthur John Pombuena, Administator, as its authorized official.

NPPES Registry Identity

NPI1114703444
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameST JOHN HOME HEALTH LLC
Location Address3230 S BUFFALO DR STE 107Las Vegas, NV 89117-2506
Mailing Address3230 S Buffalo Dr Ste 107-9Las Vegas, NV 89117-2505 · (702) 970-7530 · Fax (702) 843-0920
Phone(702) 970-7530
Fax(702) 843-0920
Organization SubpartNo
Authorized OfficialArthur John PombuenaAdministator · (702) 970-7530
Enumeration DateSeptember 4, 2023
NPPES CertifiedAugust 8, 2023
✔ NPI 1114703444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
3230 S BUFFALO DR STE 107, Las Vegas, NV 89117
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 29D2342608

St John Home Health,llc · Las Vegas, NV
Active · expires Apr 21, 2028
CLIA Number29D2342608
Laboratory TypeHome Health Agency
Certificate Effective DateApril 22, 2026
Certificate Expiration DateApril 21, 2028
Laboratory DirectorJude Lim Doble
Laboratory Phone(702) 970-7530
Laboratory LocationSt John Home Health,llc3230 S Buffalo Dr Suite 107 Unit 9, Las Vegas, NV 89117
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VALLEY COUNSELING CENTER, LLC
Counselor (Mental Health)
3230 S BUFFALO DR STE 107
LAS VEGAS, NV 89117
Clark County (702) 606-2230
LOYALTY HOSPICE CARE LLC
Hospice Care, Community Based
3230 S BUFFALO DR STE 107
LAS VEGAS, NV 89117
Clark County (702) 517-8197
MS. MAYA NEAL LMFT
Marriage & Family Therapist
3230 S BUFFALO DR STE 107
LAS VEGAS, NV 89117
Clark County (702) 283-1068
SONIA M AVILA-PEREZ
Counselor (Mental Health)
3230 S BUFFALO DR STE 107
LAS VEGAS, NV 89117
Clark County (702) 525-5862
SAMRA BASTIAN LMFT
Counselor (Mental Health)
3230 S BUFFALO DR STE 107
LAS VEGAS, NV 89117
Clark County (702) 606-2230

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St John Home Health LLC's NPI number?

The NPI number for St John Home Health LLC is 1114703444. It was assigned to this organization in the NPPES registry on September 4, 2023.

Where is St John Home Health LLC located?

St John Home Health LLC is located at 3230 S Buffalo Dr Ste 107, Las Vegas, NV 89117. The listed phone number is (702) 970-7530.

What is St John Home Health LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does St John Home Health LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 29D2342608) is associated with this NPI, valid through April 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for St John Home Health LLC was last updated on September 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.