Memory Lane LLC

Organization Adult Companion · NPI 1194690800

Memory Lane LLC is an Adult Companion in Vista, California. Registered with an NPI since 2025.

In the registry since: 2025
Specialties on file: 2

What do these letters mean?

LLC — Limited liability company: A form of business registration, not a clinical qualification.

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Practice location Address checks out

Visits clients at home This work is carried out in the client's own home, so the registered address is a private residence rather than a place you can visit. We do not publish it. Contact details come from the provider or the agency that employs them.

Vista, CA

No coordinates on file. Search this address in Google Maps

Specialties & licences

Personal Care Attendant (primary)	Taxonomy 3747P1801X
Adult Companion	Taxonomy 372600000X

Record details

NPI number	1194690800
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Amy Wombolt — Owner · (760) 445-3639
NPI enumerated	October 10, 2025
Last updated in NPPES	October 10, 2025
Certification date	October 10, 2025
Mailing address	1642 Lisa Ave, Vista, CA 92084-3054