Provider Demographics
NPI:1386437499
Name:WINNERS CARE
Entity type:Organization
Organization Name:WINNERS CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:GUANBEH
Authorized Official - Last Name:GOMIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-730-7647
Mailing Address - Street 1:15 21ST ST S STE 207
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58103-1435
Mailing Address - Country:US
Mailing Address - Phone:701-730-7647
Mailing Address - Fax:
Practice Address - Street 1:15 21ST ST S STE 207
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58103-1435
Practice Address - Country:US
Practice Address - Phone:701-730-7647
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-22
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care