MEDICARE: WILSON'S SENSATIONAL CARE, 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	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1902758493
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILSON'S SENSATIONAL CARE, LLC

Provider Business Mailing Address
First Line	:	2695 KENTWOOD CV
Second Line	:
City	:	HORN LAKE
State	:	MS
Zip	:	38637-3112
Country	:	US
Telephone Number	:	870-576-0354
Fax Number	:	870-576-0354

Provider Business Practice Location Address
First Line	:	2695 KENTWOOD CV
Second Line	:
City	:	HORN LAKE
State	:	MS
Zip	:	38637-3112
Country	:	US
Telephone Number	:	870-576-0354
Fax Number	:	870-576-0354

Authorized Official
Title or Position	:	OWNER/ADMINISTRATOR
Name	:	MS. ZIREHIA ZAYNABIA WILSON
Credential	:	N/A
Telephone Number	:	870-576-0354

Provider Enumeration Date	:	02/10/2026
Last Update Date	:	02/10/2026

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