Healthcare Provider Details

I. General information

NPI: 1831047091
Provider Name (Legal Business Name): CEICARE INTERNATIONAL CONTRACTORS OF AMERICA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2026
Last Update Date: 03/21/2026
Certification Date: 03/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

368 PLEASANT HILL DR SE
CONCORD NC
28025-6506
US

IV. Provider business mailing address

PO BOX 2025
CONCORD NC
28026-2025
US

V. Phone/Fax

Practice location:
  • Phone: 980-474-9933
  • Fax: 980-781-1050
Mailing address:
  • Phone: 980-474-9933
  • Fax: 980-781-1050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name: LASONYA WATSON
Title or Position: ADMINISTRATOR
Credential: MPH
Phone: 980-474-9933