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

Life Line Community Healthcare New Jersey, LLC

Organization Nurse Practitioner · NPI 1093118853

Life Line Community Healthcare New Jersey, LLC is a Nurse Practitioner in Independence, Ohio. Registered with an NPI since 2014.

In the registry since
2014
What do these letters mean?
LLC — Limited liability company
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: (216) 581-6556
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1093118853
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrew Manganaro — Member · (866) 964-3290
NPI enumeratedOctober 7, 2014
Last updated in NPPESDecember 5, 2025
Certification dateDecember 5, 2025
Mailing address6111 Oak Tree Blvd Ste 301, Independence, OH 44131-2585

Other providers in Independence