Provider Demographics
NPI:1306852793
Name:WINNING WHEELS, INC.
Entity Type:Organization
Organization Name:WINNING WHEELS, INC.
Other - Org Name:STRIVE, INC.
Other - Org Type:Doing Business As
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 1:415 A ST
Mailing Address - Street 2:
Mailing Address - City:PROPHETSTOWN
Mailing Address - State:IL
Mailing Address - Zip Code:61277-1244
Mailing Address - Country:US
Mailing Address - Phone:815-537-5358
Mailing Address - Fax:815-537-2328
Practice Address - Street 1:415 A ST
Practice Address - Street 2:
Practice Address - City:PROPHETSTOWN
Practice Address - State:IL
Practice Address - Zip Code:61277-1244
Practice Address - Country:US
Practice Address - Phone:815-537-5358
Practice Address - Fax:815-537-2328
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL315P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========003Medicaid