Provider Demographics
NPI:1427077601
Name:WINNING WHEELS, INC.
Entity type:Organization
Organization Name:WINNING WHEELS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GAPINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-778-3683
Mailing Address - Street 1:701 E 3RD ST
Mailing Address - Street 2:
Mailing Address - City:PROPHETSTOWN
Mailing Address - State:IL
Mailing Address - Zip Code:61277-1334
Mailing Address - Country:US
Mailing Address - Phone:815-537-5168
Mailing Address - Fax:815-537-5268
Practice Address - Street 1:701 E 3RD ST
Practice Address - Street 2:
Practice Address - City:PROPHETSTOWN
Practice Address - State:IL
Practice Address - Zip Code:61277-1334
Practice Address - Country:US
Practice Address - Phone:815-537-5168
Practice Address - Fax:815-537-5268
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-19
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========001Medicaid
IL=========001Medicaid
0834810001Medicare NSC