Healthcare Provider Details

I. General information

NPI: 1982255808
Provider Name (Legal Business Name): TABRON INDUSTRIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2019
Last Update Date: 12/22/2025
Certification Date: 12/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10689 US HIGHWAY 158
LITTLETON NC
27850-9685
US

IV. Provider business mailing address

10689 US HIGHWAY 158
LITTLETON NC
27850-9685
US

V. Phone/Fax

Practice location:
  • Phone: 252-676-4909
  • Fax:
Mailing address:
  • Phone: 252-676-4909
  • Fax: 252-629-2270

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3418M1110X
TaxonomyMilitary or U.S. Coast Guard Ground Transport Ambulance
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: COREY DORELL TABRON
Title or Position: CEO
Credential:
Phone: 252-676-4909