Organization · Type 2 NPI
Memory Lane LLC
Personal Care Attendant · Vista, CA
Practice location
1642 Lisa Ave
Vista, CA 92084-3054
Fax (760) 806-3582
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Companion | 372600000X | None listed |
| Personal Care Attendant Primary | 3747P1801X | None listed |
Personal Care Attendant: An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
Another provider at this address
About NPI 1194690800
Memory Lane LLC's National Provider Identifier is 1194690800, issued on Oct 10, 2025. The primary taxonomy on file is Personal Care Attendant (3747P1801X), and the practice location is in Vista, CA. The record was last updated on Oct 10, 2025.