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LHCG CLXXII, LLC
NPI 1407458532
Nurse Practitioner - Family in Mesa, AZ

Active since November 13, 2020CLIA 03D1080016 · Waiver
1840 S STAPLEY DR STE 225B, MESA, AZ 85204(480) 801-2416(480) 801-2417 Get Directions Write a Review

NPPES record last updated: February 5, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 5, 2025, Mar 27, 2023, Mar 23, 2023 and 3 more (6 updates tracked since 2020).

About Lhcg Clxxii, Llc NPPES

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

LHCG CLXXII, LLC (NPI 1407458532), doing business as Casa De La Luz Palliative Care, is a healthcare organization registered as a family in Mesa, Arizona and active in the NPI registry since November 2020. The organization holds a CLIA Waiver certificate valid through February 11, 2028, maintains 2 additional practice locations, and lists Joshua L Proffitt, President, as its authorized official.

NPPES Registry Identity

NPI1407458532
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameLHCG CLXXII, LLC
Location Address1840 S STAPLEY DR STE 225BMesa, AZ 85204-6685
Mailing AddressPo Box 51266Lafayette, LA 70505-1266 · (337) 233-1307 · Fax (337) 443-4154
Phone(480) 801-2416
Fax(480) 801-2417
Organization SubpartNo
Authorized OfficialJoshua L ProffittPresident · (337) 233-1307
Enumeration DateNovember 13, 2020
Last NPPES UpdateFebruary 5, 20256 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2025
✔ NPI 1407458532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedHospice Care, Community BasedTaxonomy 251G00000X
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
1840 S STAPLEY DR STE 225B, Mesa, AZ 85204
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Other Names 1

Doing Business AsCasa De La Luz Palliative Care

Secondary Practice Locations 2

Location 12152 S Vineyard Ste 118Mesa, AZ 85210-6881 · Phone (480) 895-5434 · Fax (480) 305-5782
Location 21910 S Stapley Dr Ste 202BMesa, AZ 85204-6679 · Phone (480) 801-2416 · Fax (480) 801-2417

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 03D1080016

Lhcg Clxxi, LLC Dba Casa De La Luz East Valley · Mesa, AZ
Active · expires Feb 11, 2028
CLIA Number03D1080016
Laboratory TypeHospice
Certificate Effective DateFebruary 12, 2026
Certificate Expiration DateFebruary 11, 2028
Laboratory DirectorLisa Reuter
Laboratory Phone(480) 801-2416
Laboratory LocationLhcg Clxxi, LLC Dba Casa De La Luz East Valley1840 S Stapley Dr Ste 225, Mesa, AZ 85204
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Lhcg Clxxii, LLC's NPI number?

The NPI number for Lhcg Clxxii, LLC is 1407458532. It was assigned to this organization in the NPPES registry on November 13, 2020. The provider is doing business as Casa de la Luz Palliative Care.

Where is Lhcg Clxxii, LLC located?

Lhcg Clxxii, LLC is located at 1840 S Stapley Dr Ste 225B, Mesa, AZ 85204. The listed phone number is (480) 801-2416.

What is Lhcg Clxxii, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Lhcg Clxxii, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D1080016) is associated with this NPI, valid through February 11, 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 Lhcg Clxxii, LLC was last updated on February 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.