Active NPI
LHCG Clxxii, LLC
Doing business as Casa de la Luz Palliative Care
- Family Nurse Practitioner
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- LHCG CLXXII, LLC
- Doing business as
- Casa de la Luz Palliative Care
- Practice address
- 1840 S Stapley Dr Ste 225B
Mesa, AZ 85204-6685 - Phone
- (480) 801-2416
- Fax
- (480) 801-2417
- NPI assigned
- Nov 13, 2020
- Last updated
- Feb 5, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joshua L Proffitt
- Title
- President
- Phone
- (337) 233-1307
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | |||
| Adult Health Nurse Practitioner | 363LA2200X | |||
| Family Nurse Practitioner | 363LF0000X | Primary | ||
| Family Medicine Physician | 207Q00000X |
Addresses
Primary practice location
1840 S Stapley Dr Ste 225B
Mesa, AZ 85204-6685
Mailing address
PO Box 51266
Lafayette, LA 70505-1266
Phone (337) 233-1307
Other practice location 1
2152 S Vineyard Ste 118
Mesa, AZ 85210-6881
Phone (480) 895-5434
Other practice location 2
1910 S Stapley Dr Ste 202B
Mesa, AZ 85204-6679
Phone (480) 801-2416
Other names 1
- Casa de la Luz Palliative Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1840 S Stapley Dr
Ste 225B
Mesa, AZ 85204
Phone (480) 801-2416
1840 S Stapley Dr
Ste 255B
Mesa, AZ 85204
1910 S Stapley Dr
Ste 202B
Mesa, AZ 85204
Phone (480) 801-2416
2152 S Vineyard
Ste 118
Mesa, AZ 85210
Phone (480) 801-2416
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Family Nurse Practitioner
- Phoenix, AZ
- NPI 1063127231
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1730238106
-
- Nurse Practitioner
- Flagstaff, AZ
- NPI 1487469169
-
- Adult Health Nurse Practitioner
- Tucson, AZ
- NPI 1285744177
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738713600000",
"number": "1407458532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 51266",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705051266",
"telephone_number": "337-233-1307",
"fax_number": "337-443-4154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1840 S STAPLEY DR STE 225B",
"city": "MESA",
"state": "AZ",
"postal_code": "852046685",
"telephone_number": "480-801-2416",
"fax_number": "480-801-2417"
}
],
"practiceLocations": [
{
"address_1": "2152 S Vineyard Ste 118",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852106881",
"country_code": "US",
"telephone_number": "480-895-5434",
"fax_number": "480-305-5782",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1910 S Stapley Dr Ste 202B",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852046679",
"country_code": "US",
"telephone_number": "480-801-2416",
"fax_number": "480-801-2417",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "LHCG CLXXII, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-13",
"last_updated": "2025-02-05",
"certification_date": "2025-02-05",
"status": "A",
"authorized_official_last_name": "PROFFITT",
"authorized_official_first_name": "JOSHUA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "337-233-1307"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Casa de la Luz Palliative Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.