LIFE LINE COMMUNITY HEALTHCARE NEW JERSEY, LLC
NPI 1093118853
Nurse Practitioner in Independence, OH

Q: What is Life Line Community Healthcare New Jersey, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since October 07, 2014

6111 OAK TREE BLVD STE 301, INDEPENDENCE, OH 44131(216) 581-6556 Get Directions Write a Review

NPPES record last updated: December 5, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Life Line Community Healthcare New Jersey, Llc NPPES

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

LIFE LINE COMMUNITY HEALTHCARE NEW JERSEY, LLC (NPI 1093118853) is a healthcare organization registered as a nurse practitioner in Independence, Ohio and active in the NPI registry since October 2014. The organization lists Andrew Manganaro, Member, as its authorized official.

NPPES Registry Identity

NPI1093118853

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameLIFE LINE COMMUNITY HEALTHCARE NEW JERSEY, LLC

Location Address6111 OAK TREE BLVD STE 301Independence, OH 44131-2585

Mailing Address6111 Oak Tree Blvd Ste 301Independence, OH 44131-2585 · (216) 581-6556

Phone(216) 581-6556

Organization SubpartNo

Authorized OfficialAndrew ManganaroMember · (866) 964-3290

Enumeration DateOctober 7, 2014

Last NPPES UpdateDecember 5, 2025

NPPES CertifiedDecember 5, 2025

✔ NPI 1093118853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

6111 OAK TREE BLVD STE 301, Independence, OH 44131

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield.Insurance ›

Other Providers at the Same Location NPPES 5

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

CHASITI JONES RN

Registered Nurse