Angel Skies LLC

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

Legal business name

ANGEL SKIES LLC

Practice address

1748 Little Texas Rd
Travelers Rest, SC 29690-9525

Phone

(575) 741-8816

NPI assigned

Jun 11, 2019

Last updated

Jul 20, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimberly Dawn Morris

Title

Owner

Phone

(575) 741-8816

Specialties & licenses 11

Addresses

Other names 1

• Fabulosity LLC. Other name

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595203200000",
    "number": "1063071207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1748 LITTLE TEXAS RD",
            "city": "TRAVELERS REST",
            "state": "SC",
            "postal_code": "296909525",
            "telephone_number": "575-741-8816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1748 LITTLE TEXAS RD",
            "city": "TRAVELERS REST",
            "state": "SC",
            "postal_code": "296909525",
            "telephone_number": "575-741-8816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3521 Mountain view Blvd",
            "address_2": "#19",
            "address_purpose": "LOCATION",
            "city": "Angel Fire",
            "state": "NM",
            "postal_code": "87710",
            "country_code": "US",
            "telephone_number": "575-741-8816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ANGEL SKIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-11",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-741-8816"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Research",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335U00000X",
            "taxonomy_group": "",
            "desc": "Organ Procurement Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3418M1120X",
            "taxonomy_group": "",
            "desc": "Military/U.S. Coast Guard Transport, Military or U.S. Coast Guard Ambulance, Air Transport",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "344800000X",
            "taxonomy_group": "",
            "desc": "Air Carrier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fabulosity LLC.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lisa Hembree Adams, CERTIFIED PHARMACY T
• Andrew Adkins, DC
• Kathryn Taylor Adkins
• Ismary Alvarenga
• Pamela Amatucci, LISW-CP
• Melody Arjmandi
• Deborah Ann Arnold, CCC-SLP
• Julie Atwood
• Amanda Lee Austin, DO
• Tamara D Austin, PA-C

• Emergency Medical Services (Emergency Medicine) Physician in Travelers Rest, SC
• Providers in Travelers Rest, SC by specialty
• Emergency Medical Services (Emergency Medicine) Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; 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.