Provider Demographics
NPI:1164396594
Name:NEW LEAF HEALTH LLC
Entity type:Organization
Organization Name:NEW LEAF HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:F
Authorized Official - Last Name:GATHUNGU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-651-6376
Mailing Address - Street 1:1320 W ANGUS RD
Mailing Address - Street 2:
Mailing Address - City:SAN TAN VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85143-5108
Mailing Address - Country:US
Mailing Address - Phone:480-651-6376
Mailing Address - Fax:480-275-6429
Practice Address - Street 1:3395 E SILVERSMITH TRL
Practice Address - Street 2:
Practice Address - City:SAN TAN VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85143-3362
Practice Address - Country:US
Practice Address - Phone:480-561-6376
Practice Address - Fax:480-275-6429
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEW HEALTH LEAF LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-09-30
Last Update Date:2025-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility