Organization Active NPI

Home Suite Home Care LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Winston Salem, NC
National Provider Identifier
1356279129
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
HOME SUITE HOME CARE LLC
Practice address
3425 Tinley Park Dr
Winston Salem, NC 27107-5605
Phone
(336) 918-5952
NPI assigned
May 12, 2026
Last updated
May 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Authorized official

Name
Shaqualla Tyshon McIntyre
Title
Owner
Phone
(336) 918-5952

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X NU Primary

Addresses

Primary practice location

3425 Tinley Park Dr
Winston Salem, NC 27107-5605

Mailing address

3425 Tinley Park Dr
Winston Salem, NC 27107-5605
Phone (336) 918-5952

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1778544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778544000000",
    "number": "1356279129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 TINLEY PARK DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271075605",
            "telephone_number": "336-918-5952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 TINLEY PARK DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271075605",
            "telephone_number": "336-918-5952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME SUITE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-12",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A",
        "authorized_official_last_name": "MCINTYRE",
        "authorized_official_first_name": "SHAQUALLA",
        "authorized_official_middle_name": "TYSHON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-918-5952"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.