Provider Demographics
| NPI: | 1407741481 |
|---|---|
| Name: | SUNFLOWER RAIN HOME CARE, LLC |
| Entity type: | Organization |
| Organization Name: | SUNFLOWER RAIN HOME CARE, LLC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | PROGRAM PROVIDER |
| Authorized Official - Prefix: | MS |
| Authorized Official - First Name: | YUNEKA |
| Authorized Official - Middle Name: | V |
| Authorized Official - Last Name: | WESLEY |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 512-810-8678 |
| Mailing Address - Street 1: | 19308 ANDREW JACKSON ST |
| Mailing Address - Street 2: | |
| Mailing Address - City: | MANOR |
| Mailing Address - State: | TX |
| Mailing Address - Zip Code: | 78653-2146 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 512-810-8678 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 19308 ANDREW JACKSON ST |
| Practice Address - Street 2: | |
| Practice Address - City: | MANOR |
| Practice Address - State: | TX |
| Practice Address - Zip Code: | 78653-2146 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 512-810-8678 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2025-06-10 |
| Last Update Date: | 2025-06-12 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 320900000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | ||
| No | 261QA0600X | Ambulatory Health Care Facilities | Clinic/Center | Adult Day Care | |
| No | 310400000X | Nursing & Custodial Care Facilities | Assisted Living Facility | ||
| No | 3104A0625X | Nursing & Custodial Care Facilities | Assisted Living Facility | Assisted Living, Mental Illness | |
| No | 311Z00000X | Nursing & Custodial Care Facilities | Custodial Care Facility | ||
| No | 311ZA0620X | Nursing & Custodial Care Facilities | Custodial Care Facility | Adult Care Home | |
| No | 313M00000X | Nursing & Custodial Care Facilities | Nursing Facility/Intermediate Care Facility | ||
| No | 171M00000X | Other Service Providers | Case Manager/Care Coordinator | Group - Multi-Specialty | |
| No | 251C00000X | Agencies | Day Training, Developmentally Disabled Services | ||
| No | 320700000X | Residential Treatment Facilities | Residential Treatment Facility, Physical Disabilities | ||
| No | 320800000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Mental Illness |
