OrganizationActive
Memory Lane LLC
NPI 1922851435 · In Home Supportive Care Agency · Vista, CA
Memory Lane LLC is a In Home Supportive Care Agency organization in Vista, CA (NPI 1922851435).
Provider details
- NPI number
- 1922851435
- Entity type
- Organization
- Primary specialty
- In Home Supportive Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Amy Wombolt, Owner(760) 445-3639
Specialties & taxonomies
Agencies
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES 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
1642 Lisa Ave
Vista, CA 92084-3054
Phone: (760) 445-3639
Street-level locationGet directions
Mailing address
1642 Lisa Ave
Vista, CA 92084-3054
Registry dates
- Enumerated
- 2024-04-08
- Last updated
- 2024-06-17
- Certified
- 2024-06-17
Frequently asked questions
- What is Memory Lane LLC's NPI number?
- Memory Lane LLC's National Provider Identifier (NPI) is 1922851435, 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 In Home Supportive Care Agency (Agencies).
- 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) 445-3639.
- 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 (1922851435) is active in the NPPES registry as of the last update on 2024-06-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.