Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Life Line Community Healthcare - Kansas, PA

Organization Community Health/Public Health Clinical Nurse Specialist · NPI 1942629746

Life Line Community Healthcare - Kansas, PA is a Community Health/Public Health Clinical Nurse Specialist in Independence, Ohio. Licensed in Kansas. Registered with an NPI since 2014.

Licensed in
KS
In the registry since
2014
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

6111 Oak Tree Blvd Ste 301
Independence, OH 44131-2585
Phone: (866) 964-3286
Fax: (866) 345-6156
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health/Public Health Clinical Nurse Specialist (primary) Taxonomy 364SC1501X · Licence 04-31805 (KS)

Record details

NPI number1942629746
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrew Manganaro — Owner · (866) 964-3286
Other names Life Line Community Healthcare
NPI enumeratedApril 9, 2014
Last updated in NPPESDecember 5, 2025
Certification dateDecember 5, 2025
Mailing address6111 Oak Tree Blvd Ste 301, Independence, OH 44131-2585

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