Memory Lane LLC
NPI 1194690800 · Personal Care Attendant · Vista, CA
Memory Lane LLC is a Personal Care Attendant organization in Vista, CA (NPI 1194690800).
Provider details
- NPI number
- 1194690800
- Entity type
- Organization
- Primary specialty
- Personal Care AttendantNursing Service Related Providers
- Organization subpart
- No
- Authorized official
- Amy Wombolt, Owner(760) 445-3639
Specialties & taxonomies
Nursing Service Related Providers
- Adult Companion372600000X
Nursing Service Related Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-10-10
- Last updated
- 2025-10-10
- Certified
- 2025-10-10
Frequently asked questions
- What is Memory Lane LLC's NPI number?
- Memory Lane LLC's National Provider Identifier (NPI) is 1194690800, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Memory Lane LLC?
- Memory Lane LLC is classified in the NPPES registry as Personal Care Attendant (Nursing Service Related Providers).
- Where is Memory Lane LLC located?
- Memory Lane LLC's practice location on file with NPPES is 1642 Lisa Ave, Vista, CA 92084-3054.
- What is Memory Lane LLC's phone number?
- The practice phone number listed in the NPPES registry for Memory Lane LLC is (760) 536-3139.
- Who is the authorized official for Memory Lane LLC?
- The authorized official listed on Memory Lane LLC's NPPES record is Amy Wombolt, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Memory Lane LLC's NPI active?
- Yes — Memory Lane LLC's NPI (1194690800) is active in the NPPES registry as of the last update on 2025-10-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.