Healthcare Provider Details

I. General information

NPI: 1760332506
Provider Name (Legal Business Name): BASIC BLACK LIMO, LLC DBA BASIC BLACK TRANSPORTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2026
Last Update Date: 01/31/2026
Certification Date: 01/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 LUMBER LN LOT 2
GOOSE CREEK SC
29445-3446
US

IV. Provider business mailing address

107 LUMBER LN LOT 2
GOOSE CREEK SC
29445-3446
US

V. Phone/Fax

Practice location:
  • Phone: 843-991-0670
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: JIMMY SWINTON
Title or Position: OWNER
Credential:
Phone: 843-991-0670