ANGEL SKIES LLC NPI 1063071207

NPI Information

NPI: 1063071207
Provider Name: ANGEL SKIES LLC
Classification: Emergency Medicine - 207PE0004X
Specialization: Emergency Medical Services
Entity Type: Organization
Other Name: FABULOSITY LLC.
Address: 1748 LITTLE TEXAS RD
TRAVELERS REST, SC
ZIP 29690
Phone: (575) 741-8816

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NPI Details

ANGEL SKIES LLC is an emergency medical services emergency medicine in Travelers Rest, SC. The provider is 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. ANGEL SKIES LLC NPI is 1063071207. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Fabulosity Llc..

The provider's business location address is:

1748 LITTLE TEXAS RD
TRAVELERS REST, SC
ZIP 29690-525
Phone: (575) 741-8816

The provider's authorized official is Kimberly Dawn Morris .
The authorized official title is Owner and has the following contact phone number (575) 741-8816.

The enumeration date for this NPI number is 6/11/2019 and was last updated on 7/20/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101YP1600X	Counselor	Pastoral	No
2	207PE0004X	Emergency Medicine	Emergency Medical Services	Yes
3	251V00000X	Voluntary or Charitable		No
4	261Q00000X	Clinic/Center		No
5	261QR1100X	Clinic/Center	Research	No
6	335U00000X	Organ Procurement Organization		No
7	3418M1120X	Military/U.S. Coast Guard Transport	Military or U.S. Coast Guard Ambulance, Air Transport	No
8	372600000X	Adult Companion		No
9	376K00000X	Nurse's Aide		No
10	1710I1002X	Military Health Care Provider	Independent Duty Corpsman	No
11	344800000X	Air Carrier		No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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