MEDICARE: RISING SUNFLOWER PERSONAL CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251G00000X	Community Based Hospice Care Agency
2	253Z00000X	In Home Supportive Care Agency
3	261QA0600X	Adult Day Care Clinic/Center
4	261QF0050X	Non-Surgical Family Planning Clinic/Center
5	310400000X	Assisted Living Facility
6	343900000X	Non-emergency Medical Transport (VAN)
7	385H00000X	Respite Care
8	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1427908631
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RISING SUNFLOWER PERSONAL CARE LLC

Provider Business Mailing Address
First Line	:	13423 BLANCO RD # 447
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78216-2187
Country	:	US
Telephone Number	:	210-763-1981
Fax Number	:

Provider Business Practice Location Address
First Line	:	8350 LONGHORN RIDGE DRIVE.
Second Line	:
City	:	CONVERSE
State	:	TX
Zip	:	78109
Country	:	US
Telephone Number	:	210-763-1981
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	KADERION WILSON
Credential	:
Telephone Number	:	317-379-6678

Provider Enumeration Date	:	01/29/2026
Last Update Date	:	01/29/2026

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