Organization Active NPI

Luxurious Wae LLC

  • Adult Care Home Facility
  • Statesville, NC
National Provider Identifier
1619800638
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
LUXURIOUS WAE LLC
Practice address
117 E Heart Pine LN
Statesville, NC 28677-9611
Phone
(743) 837-0833
NPI assigned
Jun 8, 2026
Organization subpart
Yes
Parent organization
LUXURIOUS WAE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Authorized official

Name
Christionna Lakenda MalachiNPI 1740113653
Title
Owner
Phone
(743) 837-0833

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

117 E Heart Pine LN
Statesville, NC 28677-9611

Mailing address

117 E Heart Pine LN
Statesville, NC 28677-9611
Phone (743) 837-0833

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1780876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780876800000",
    "number": "1619800638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 E HEART PINE LN",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286779611",
            "telephone_number": "743-837-0833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 E HEART PINE LN",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286779611",
            "telephone_number": "743-837-0833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUXURIOUS WAE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LUXURIOUS WAE LLC",
        "enumeration_date": "2026-06-08",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A",
        "authorized_official_last_name": "MALACHI",
        "authorized_official_first_name": "CHRISTIONNA",
        "authorized_official_middle_name": "LAKENDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "743-837-0833"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; 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.