MEMORY LANE LLC
NPI 1922851435
In Home Supportive Care in Vista, CA

Q: What is Memory Lane LLC's NPI number?

The NPI number for Memory Lane LLC is 1922851435. It was assigned to this organization in the NPPES registry on April 8, 2024.

Q: What is Memory Lane LLC's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Memory Lane LLC was last updated on June 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 08, 2024

1642 LISA AVE, VISTA, CA 92084(760) 445-3639 Get Directions Write a Review

NPPES record last updated: June 17, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 17, 2024, Apr 8, 2024 (2 updates tracked since 2024).

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About Memory Lane Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEMORY LANE LLC (NPI 1922851435) is a healthcare organization registered as an in home supportive care in Vista, California and active in the NPI registry since April 2024. The organization lists Amy Michelle Wombolt, Owner, as its authorized official.

NPPES Registry Identity

NPI1922851435

Entity TypeOrganization

Primary Taxonomy253Z00000X

Legal Business NameMEMORY LANE LLC

Location Address1642 LISA AVEVista, CA 92084-3054

Mailing Address1642 Lisa AveVista, CA 92084-3054 · (760) 445-3639

Phone(760) 445-3639

Organization SubpartNo

Authorized OfficialAmy Michelle WomboltOwner · (760) 445-3639

Enumeration DateApril 8, 2024

Last NPPES UpdateJune 17, 20242 updates tracked since enumeration

NPPES CertifiedJune 17, 2024

✔ NPI 1922851435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIn Home Supportive CareAgencies

Taxonomy Code253Z00000X

Definition

An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

1642 LISA AVE, Vista, CA 92084

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEMORY LANE LLC

Technician (Personal Care Attendant)

1642 LISA AVE
VISTA, CA 92084

San Diego County (760) 536-3139

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Memory Lane LLC's NPI number?

The NPI number for Memory Lane LLC is 1922851435. It was assigned to this organization in the NPPES registry on April 8, 2024.

Where is Memory Lane LLC located?

Memory Lane LLC is located at 1642 Lisa Ave, Vista, CA 92084. The listed phone number is (760) 445-3639.

What is Memory Lane LLC's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

When was this NPI record last updated?

The NPPES record for Memory Lane LLC was last updated on June 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.