Organization Active NPI

Xtra Mile Health Care Transport LLC

  • Non-emergency Medical Transport (VAN)
  • Columbia, SC
National Provider Identifier
1558219212
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
XTRA MILE HEALTH CARE TRANSPORT LLC
Practice address
514 Blue Garden Way
Columbia, SC 29223-8053
Phone
(803) 949-5335
NPI assigned
Mar 18, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Deion London, LONDON
Title
Owner
Phone
(803) 949-5335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

514 Blue Garden Way
Columbia, SC 29223-8053

Mailing address

514 Blue Garden Way
Columbia, SC 29223-8053
Phone (803) 949-5335

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1773792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773792000000",
    "number": "1558219212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 BLUE GARDEN WAY",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292238053",
            "telephone_number": "803-949-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 BLUE GARDEN WAY",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292238053",
            "telephone_number": "803-949-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XTRA MILE HEALTH CARE TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-18",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A",
        "authorized_official_last_name": "LONDON",
        "authorized_official_first_name": "DEION",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-949-5335",
        "authorized_official_credential": "LONDON"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.