LIFE LINE COMMUNITY HEALTHCARE - KANSAS, PA
NPI 1942629746
Clinical Nurse Specialist - Community Health/Public Health in Independence, OH

Q: What is Life Line Community Healthcare - Kansas, PA's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Community Health/Public Health, with taxonomy code 364SC1501X.

Active since April 09, 2014

6111 OAK TREE BLVD STE 301, INDEPENDENCE, OH 44131(866) 964-3286(866) 345-6156 Get Directions Write a Review

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

On this page

About Life Line Community Healthcare - Kansas, Pa NPPES

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

LIFE LINE COMMUNITY HEALTHCARE - KANSAS, PA (NPI 1942629746), doing business as Life Line Community Healthcare, is a healthcare organization registered as a community health/public health in Independence, Ohio and active in the NPI registry since April 2014. The organization lists Andrew J Manganaro, Owner, as its authorized official.

NPPES Registry Identity

NPI1942629746

Entity TypeOrganization

Primary Taxonomy364SC1501X

Legal Business NameLIFE LINE COMMUNITY HEALTHCARE - KANSAS, PA

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

Mailing Address6111 Oak Tree Blvd Ste 301Independence, OH 44131-2585 · (866) 964-3286 · Fax (866) 345-6156

Phone(866) 964-3286

Fax(866) 345-6156

Organization SubpartNo

Authorized OfficialAndrew J ManganaroOwner · (866) 964-3286

Enumeration DateApril 9, 2014

Last NPPES UpdateDecember 5, 2025

NPPES CertifiedDecember 5, 2025

✔ NPI 1942629746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Community Health/Public HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code364SC1501X

License✔ Licensed in KS · 04-31805

6111 OAK TREE BLVD STE 301, Independence, OH 44131

Open in Google Maps ↗

Other Names 1

Doing Business AsLife Line Community Healthcare

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

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.

LIFE LINE COMMUNITY HEALTHCARE NEW JERSEY, LLC

Nurse Practitioner