Provider Demographics
NPI:1811586977
Name:WINNING WHEELS, INC.
Entity Type:Organization
Organization Name:WINNING WHEELS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:LANDIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-778-3683
Mailing Address - Street 1:501 6TH AVE W
Mailing Address - Street 2:
Mailing Address - City:LYNDON
Mailing Address - State:IL
Mailing Address - Zip Code:61261-7602
Mailing Address - Country:US
Mailing Address - Phone:815-778-3683
Mailing Address - Fax:815-778-4503
Practice Address - Street 1:405 A ST APT 402
Practice Address - Street 2:
Practice Address - City:PROPHETSTOWN
Practice Address - State:IL
Practice Address - Zip Code:61277-1210
Practice Address - Country:US
Practice Address - Phone:815-778-3683
Practice Address - Fax:815-778-4503
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WINNING WHEELS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-01-13
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
12OtherHOMEMAKERS SERVICES