MEDICARE: WILDFLOWER SPRINGS MANAGER LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1760333470
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILDFLOWER SPRINGS MANAGER LLC

Provider Business Mailing Address
First Line	:	13701 TRAUTWEIN RD
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78737-8527
Country	:	US
Telephone Number	:	512-554-5900
Fax Number	:	866-731-7135

Provider Business Practice Location Address
First Line	:	501 FM 3237
Second Line	:
City	:	WIMBERLEY
State	:	TX
Zip	:	78676-5311
Country	:	US
Telephone Number	:	512-554-5900
Fax Number	:	866-731-7135

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MRS. JANA LEE GILLIS
Credential	:
Telephone Number	:	512-554-5900

Provider Enumeration Date	:	02/07/2026
Last Update Date	:	02/07/2026

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