Active NPI
MGM Grand Transportation LLC
- Non-emergency Medical Transport (VAN)
- Loris, SC
National Provider Identifier
1629976485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- MGM GRAND TRANSPORTATION LLC
- Practice address
- 3341 Broad St
Loris, SC 29569-3019 - Phone
- (843) 756-0749
- NPI assigned
- Oct 29, 2026
- Last updated
- Oct 29, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Phillip McLean
- Title
- Mr.
- Phone
- (843) 756-0749
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | |||
| Non-emergency Medical Transport (VAN) | 343900000X | Primary | ||
| Private Vehicle | 347C00000X |
Addresses
Primary practice location
3341 Broad St
Loris, SC 29569-3019
Mailing address
3341 Broad St
Loris, SC 29569-3019
Phone (843) 756-0749
National Provider Directory
National Provider DirectoryLocations
3341 Broad St
Loris, SC 29569
Phone (843) 605-1608
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Home Health Agency
- Loris, SC
- NPI 1215663158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1793232000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1793232000000",
"number": "1629976485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3341 BROAD ST",
"city": "LORIS",
"state": "SC",
"postal_code": "295693019",
"telephone_number": "843-756-0749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3341 BROAD ST",
"city": "LORIS",
"state": "SC",
"postal_code": "295693019",
"telephone_number": "843-756-0749"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MGM GRAND TRANSPORTATION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-29",
"last_updated": "2026-10-29",
"certification_date": "2026-10-29",
"status": "A",
"authorized_official_last_name": "MCLEAN",
"authorized_official_first_name": "PHILLIP",
"authorized_official_title_or_position": "MR.",
"authorized_official_telephone_number": "843-756-0749"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Loris, SC
- McLeod Physician Associates II (McLeod Pediatric Associates)
- McLeod Regional Medical Center of the Pee Dee, Inc (Southern Medical Associates)
- McLeod Regional Medical Center of the Pee Dee, Inc (McLeod Cardiology Associates Loris)
- Meds & More LLC (Sherry's Meds & More Pharmacy)
- David Meno
- Melissa Ann Miara, D.O.
- Michael L Mills, OD
- Timothy C Mills, M.D.
- Michael J Mitchell, MD
- James N Moore III, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.