MEDICAID360, INC.
NPI 1790929743
Contractor in San Antonio, TX

Active since April 21, 2009
626 MESA RDG, SAN ANTONIO, TX 78258(210) 863-1600 Get Directions Write a Review

NPPES record last updated: April 21, 2009. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Medicaid360, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDICAID360, INC. (NPI 1790929743) is a healthcare organization registered as a contractor in San Antonio, Texas and active in the NPI registry since April 2009. The organization lists Teresa Harris, President, as its authorized official.

NPPES Registry Identity

NPI1790929743
Entity TypeOrganization
Primary Taxonomy171W00000X
Legal Business NameMEDICAID360, INC.
Location Address626 MESA RDGSan Antonio, TX 78258-4815
Mailing Address626 Mesa RdgSan Antonio, TX 78258-4815
Organization SubpartNo
Authorized OfficialTeresa HarrisPresident · (210) 863-1600
Enumeration DateApril 21, 2009
NPI 1790929743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyContractorOther Service Providers
Taxonomy Code171W00000X
Definition
For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status.
626 MESA RDG, San Antonio, TX 78258

Other Identifiers 1

Other263656705TX · Billing

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Medicaid360, Inc.'s NPI number?

The NPI number for Medicaid360, Inc. is 1790929743. It was assigned to this organization in the NPPES registry on April 21, 2009.

Where is Medicaid360, Inc. located?

Medicaid360, Inc. is located at 626 Mesa Rdg, San Antonio, TX 78258. The listed phone number is (210) 863-1600.

What is Medicaid360, Inc.'s specialty?

The primary specialty registered for this NPI is Contractor with taxonomy code 171W00000X.

When was this NPI record last updated?

The NPPES record for Medicaid360, Inc. was last updated on April 21, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.