Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Life Line Community Healthcare New Jersey, LLC

Organization Nurse Practitioner · NPI 1093118853

Life Line Community Healthcare New Jersey, LLC provides Nurse Practitioner services 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.

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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

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