LIFE LINE COMMUNITY HEALTHCARE NEW JERSEY, LLC (NPI# 1093118853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093118853 |
| Entity Type | Organization |
| Organization Name | LIFE LINE COMMUNITY HEALTHCARE NEW JERSEY, LLC |
| Practice Address |
6150 Oak Tree Blvd Suite 200 Independence OH 44131-6917 |
| Practice Telephone | 2165816556 |
| Mailing Telephone | 2165816556 |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2014-10-07 |
| Authorized Official Name | ANDREW MANGANARO (MEMBER) |
| Authorized Official Telephone | 9737250003 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6150 OAK TREE BLVD SUITE 200 |
| City | INDEPENDENCE |
| State | OH |
| Zip Code | 44131-6917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508840646 | Rhett C Leibecke | Nurse Practitioner | 6150 Oak Tree Blvd, Suite 200, Independence, OH 44131-6917 | 2005-12-02 |
| 1275036667 | Lisa Danielle Welcher | Nurse Practitioner | 6150 Oak Tree Blvd, Independence, OH 44131-6917 | 2018-03-13 |
| 1962946640 | Hemisha Patel | Nurse Practitioner | 6150 Oak Tree Blvd, Independence, OH 44131-6917 | 2016-12-14 |
| 1346607413 | Suzette Misel | Nurse Practitioner | 6150 Oak Tree Blvd, 200, Independence, OH 44131-6917 | 2016-01-20 |
| 1083088033 | Kathleen Jamieson-gargano | Nurse Practitioner | 6150 Oak Tree Blvd, 200, Independence, OH 44131-6917 | 2015-11-13 |
| 1487039574 | Brandi Jane Chainier | Clinical Nurse Specialist | 6150 Oak Tree Blvd, Independence, OH 44131-6917 | 2015-07-30 |
| 1154715761 | Karen Winn | Nurse Practitioner | 6150 Oak Tree Blvd, Independence, OH 44131-6917 | 2015-03-20 |
| 1558773572 | Precisse Woods | Nurse Practitioner | 6150 Oak Tree Blvd, Park Center Plaza II, Independence, OH 44131-6917 | 2014-05-26 |
| 1750622197 | Cynthia Martin | Nurse Practitioner | 6150 Oak Tree Blvd, Suite 200, Independence, OH 44131-6917 | 2013-03-11 |
| 1043308398 | Luann Etcher | Nurse Practitioner | 6150 Oak Tree Blvd, Suite 200, Independence, OH 44131-6917 | 2006-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902457161 | Emilie Hadley | Case Manager/Care Coordinator | 5700 Rockside Rd, Independence, OH 44131 | 2019-09-27 |
| 1316404015 | Denise Ann Shannon | Licensed Practical Nurse | 4700 Rocksde Road, Suite 100, Independence, OH 44131 | 2019-02-28 |
| 1255898433 | Elizabeth Spence | Specialist/Technologist | 806 Tuxedo Ave, Brooklyn Hts, OH 44131 | 2019-02-25 |
| 1407356819 | Stefani Smithburger | Social Worker | 6200 Rockside Woods Blvd, Suite 305, Independence, OH 44131 | 2018-02-13 |
| 1881107092 | Christine M Hernandez | Nurse Practitioner | 2150 Oak Tree Blvd Suite 200, Independence, OH 44131 | 2017-11-09 |
| 1639698368 | Jessica Ann Phillips-donnelly | Social Worker | 5001 Rockside Road, Crown Center II, Independence, OH 44131 | 2017-09-13 |
| 1437692274 | Susan Meghan Davis | Registered Nurse | 925 Keynote Circle Suite #300, Brooklyn Hts, OH 44131 | 2016-11-28 |
| 1629431507 | Patricia Lynn Berger | Counselor | 6200 Rockside Woods Blvd. Suite 305, Independence, OH 44131 | 2016-03-30 |
| 1265810428 | Sarah Krakowiak | Speech-Language Pathologist | 3330 Wynde Tree Drive, Seven Hills, OH 44131 | 2015-05-08 |
| 1255732525 | Michelle Rioux-nivens | Nurse Practitioner | 6150 Oak Tree Boulevard, Suite 200, Independence, OH 44131 | 2014-09-05 |
| Find all providers in zip 44131 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891217923 | Cheryl Ann Thompson | Nurse Practitioner | 19550 E 39th St S Ste 210, Independence, MO 64057-0013 | 2017-07-11 |
| 1730500430 | Susan Michelle Brock | Nurse Practitioner | Lifeline Community Healthcare, 6150 Oak Tree Blvd Ste 200, Independence, OH 44131 | 2013-12-23 |
| 1730400888 | Kate E. Coniglio | Nurse Practitioner | 19600 E 39th St, C/o Centerpoint Medical Center, Independence, MO 64057-2301 | 2010-06-11 |
| 1356674675 | Libby A Sorosiak | Nurse Practitioner | 6100 Rockside Woods Blvd N Ste 425, Independence, OH 44131-2340 | 2009-09-18 |
| 1184853780 | Patricia W Travis | Nurse Practitioner | 6801 Brecksville Rd Ste 10, Independence, OH 44131-5057 | 2009-07-06 |
| 1043246812 | Tara M Nash | Nurse Practitioner | 19550 E 39th St S Ste 200, Independence, MO 64057-2358 | 2006-06-24 |
| 1336184654 | Jane E. Garney | Nurse Practitioner | 1638 W Us Highway 24, Mailstop No. Inde-01-01, Independence, MO 64050-2346 | 2006-06-19 |
| 1679514871 | Debra D Khalid-abasi | Nurse Practitioner | 52579 Highway South, Lallie Kemp Hospital, Independence, LA 70443 | 2006-06-09 |
| 1275573842 | Sherry Paretti | Nurse Practitioner | Lallie Kemp Hospital, 52579 Highway 51 South, Independence, LA 70443 | 2006-06-08 |
| 1215989181 | Harriet L Yurkovich | Nurse Practitioner | 1900 E. Eastland Center Court, # 200, Independence, MO 64055 | 2006-05-17 |
| Find all providers in INDEPENDENCE | ||||
| City | INDEPENDENCE |
| Zip Code | 44131 |
Please comment or provide details below to improve the information on LIFE LINE COMMUNITY HEALTHCARE NEW JERSEY, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.