Healthcare Provider Details

I. General information

NPI: 1730019118
Provider Name (Legal Business Name): NEW LEAF PERSONAL CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2324 LUDLOW AVE
JACKSON MS
39213-7414
US

IV. Provider business mailing address

4780 I 55 N STE 100-1002
JACKSON MS
39211-5542
US

V. Phone/Fax

Practice location:
  • Phone: 702-908-2606
  • Fax:
Mailing address:
  • Phone: 702-908-2606
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: CHELSEA TURNER
Title or Position: DIRECTOR
Credential:
Phone: 702-908-2606