OrganizationActive
Life Line Community Healthcare - Kansas, PA
NPI 1942629746 · Community Health/Public Health Clinical Nurse Specialist · Independence, OH
Provider details
- NPI number
- 1942629746
- Entity type
- Organization
- Primary specialty
- Community Health/Public Health Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Andrew Manganaro, Owner(866) 964-3286
- License
- 04-31805 (KS)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6111 Oak Tree Blvd Ste 301
Independence, OH 44131-2585
Phone: (866) 964-3286
Fax: (866) 345-6156
Street-level locationGet directions
Mailing address
6111 Oak Tree Blvd Ste 301
Independence, OH 44131-2585
Other names (DBA / former)
- Doing business as
- Life Line Community Healthcare
Registry dates
- Enumerated
- 2014-04-09
- Last updated
- 2025-12-05
- Certified
- 2025-12-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.