Healthcare Provider Details

I. General information

NPI: 1073437604
Provider Name (Legal Business Name): NEWLEAF SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1015 W MAIN ST
WHITEWATER WI
53190-1616
US

IV. Provider business mailing address

1015 W MAIN ST
WHITEWATER WI
53190-1616
US

V. Phone/Fax

Practice location:
  • Phone: 763-957-9704
  • Fax: 763-957-9704
Mailing address:
  • Phone: 763-957-9704
  • Fax: 763-957-9704

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: HAROON AHMWD
Title or Position: OWNER
Credential:
Phone: 763-957-9704