ANGEL SKIES LLC – NPI #1063071207
Emergency Medicine

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

Health Care Provider Taxonomy Code for Emergency Medicine

NPI Profile
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ANGEL SKIES LLC is a provider located in TRAVELERS REST, SC. NPPES has assigned the NPI number 1063071207 to ANGEL SKIES LLC on June 11, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. ANGEL SKIES LLC is also known by the name FABULOSITY LLC.. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207PE0004X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine, specializing in Emergency Medical Services Keep in mind, having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 6 years ago on Jul 20, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ANGEL SKIES LLC below.

NPI Profile for
ANGEL SKIES LLC

NPI Number

1063071207

Enumeration Date

Jun 11, 2019
(about 7 years ago)

Entity Type

Type-2 Organization

Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.

Legal Name

ANGEL SKIES LLC

Other Name: FABULOSITY LLC.

Primary location

1748 LITTLE TEXAS RD
TRAVELERS REST, SC 29690-9525

Phone: (575) 741-8816

1 Other location(s):

3521 Mountain view Blvd
#19
Angel Fire, NM 87710
Phone: (575) 741-8816

Mailing address

Same as primary location

Organization Subpart

Authorized Official

KIMBERLY MORRIS
OWNER
Phone: (575) 741-8816

Updated

Jul 20, 2020

Certification Date

Jul 20, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization	State	License
207PE0004X - Emergency Medicine / Emergency Medical Services (Primary)
376K00000X - Nurse's Aide
372600000X - Adult Companion
344800000X - Air Carrier
3418M1120X - Military/U.S. Coast Guard Transport / Military or U.S. Coast Guard Ambulance, Air Transport
335U00000X - Organ Procurement Organization
261QR1100X - Clinic/Center / Research
261Q00000X - Clinic/Center
251V00000X - Voluntary or Charitable
1710I1002X - Military Health Care Provider / Independent Duty Corpsman
101YP1600X - Counselor / Pastoral

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.