LIFE LINE COMMUNITY HEALTHCARE (NPI# 1184009284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184009284 |
| Entity Type | Organization |
| Organization Name | LIFE LINE COMMUNITY HEALTHCARE |
| Practice Address |
6150 Oak Tree Blvd Ste 200 Independence OH 44131-2569 |
| Practice Telephone | 2165816556 |
| Practice Fax Number | 8004708713 |
| Mailing Telephone | 2165816556 |
| Mailing Fax Number | 8004708713 |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2015-07-30 |
| Authorized Official Name | ERIC GREENBERG (VP) |
| Authorized Official Telephone | 2165816556 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 372600000X | Adult Companion | AP128594 | TX | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598193062 | Life Line Community Healthcare | Community Health Worker | 6111 Oak Tree Blvd Ste 301, Independence, OH 44131-2585 | 2013-10-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Life Line Community Healthcare LLC | 6111 Oak Tree Blvd, Suite 301, Independence, OH 44131 |
| North Carolina Corporations | Life Line Community Healthcare LLC | 176 Mine Lake Court Ste. 100, Raleigh, NC 27615-6417 |
| Oregon Corporations, Companies and Business Names | LIFE LINE COMMUNITY HEALTHCARE LLC | 6111 Oak Tree Blvd, Suite 310, Independence, OH 44131 |
| Iowa Business Entities | LIFE LINE COMMUNITY HEALTHCARE LLC | 6111 Oak Tree Blvd, Suite 301, Independence, OH 44131 |
| Washington State Corporations | LIFE LINE COMMUNITY HEALTHCARE LLC | 6111 Oak Tree Blvd Ste 130, Independence, OH 44131-2585 |
| Vermont Business Registrations | LIFE LINE COMMUNITY HEALTHCARE LLC | 6150 Oak Tree Blvd, Suite 200, Independence, OH 44131 |
| Street Address |
6150 OAK TREE BLVD STE 200 |
| City | INDEPENDENCE |
| State | OH |
| Zip Code | 44131-2569 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619238151 | Life Line Screening of America | Clinical Medical Laboratory | 6150 Oak Tree Blvd Ste 200, Independence, OH 44131-2569 | 2012-05-31 |
| 1831729383 | Janet Satterthwaite | Registered Nurse | 6150 Oak Tree Blvd Ste 200, Independence, OH 44131-2569 | 2020-01-23 |
| 1275181844 | Joy Elizabeth Albright | Nurse Practitioner | 6150 Oak Tree Blvd Ste 200, Independence, OH 44131-2569 | 2019-08-28 |
| 1912494030 | Marian Anne Ferguson | Nurse Practitioner | 6150 Oak Tree Blvd Ste 200, Independence, OH 44131-2569 | 2018-04-13 |
| 1508366485 | Marcy Antoinette Fitzgerald | Nurse Practitioner | 6150 Oak Tree Blvd Ste 200, Independence, OH 44131-2569 | 2018-02-16 |
| 1538674411 | Leann Mcclain | Nurse Practitioner | 6150 Oak Tree Blvd Ste 200, Independence, OH 44131-2569 | 2017-12-13 |
| 1346751591 | Raquel Barba | Nurse Practitioner | 6150 Oak Tree Blvd Ste 200, Independence, OH 44131-2569 | 2017-10-16 |
| 1225562614 | Katlyn R Messner | Registered Nurse | 6150 Oak Tree Blvd Ste 200, Independence, OH 44131-2569 | 2017-04-12 |
| 1972987436 | Jessica Dickinson | Nurse Practitioner | 6150 Oak Tree Blvd Ste 200, Independence, OH 44131-2569 | 2015-07-15 |
| 1043630742 | Baoanh Chu | Nurse Practitioner | 6150 Oak Tree Blvd Ste 200, Independence, OH 44131-2569 | 2014-04-21 |
| 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 | 372600000X |
| Grouping | Nursing Service Related Providers |
| Classification | Adult Companion |
| An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033689393 | Cynthia Stringer Dba Mattie's Adult Day Care, LLC | Adult Companion | 9710 E Us Highway 40, Independence, MO 64055-6116 | 2018-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194326868 | Terri Lynn Butler | Adult Companion | 52 Ansel Ave, Akron, OH 44312-1516 | 2020-11-08 |
| 1689275661 | Danny Jerome Dragg | Adult Companion | 504 S Hawkins Ave Apt 1, Akron, OH 44320-1260 | 2020-11-05 |
| 1710588132 | Pamela Sue Davis | Adult Companion | 128 Matthew Dr, Rittman, OH 44270-2002 | 2020-11-03 |
| 1851991863 | Isaac Campbell | Adult Companion | 4175 Intrepid Dr, Cincinnati, OH 45252-1940 | 2020-10-28 |
| 1578161899 | Anne Fuller | Adult Companion | 6 E Carriage Dr, Chagrin Falls, OH 44022-2875 | 2020-10-09 |
| 1598362501 | Lindsey Kay Grabfelder | Adult Companion | 138 Sussex Rd, Hudson, OH 44236-1653 | 2020-10-02 |
| 1225645666 | Anita Cromes | Adult Companion | 1149 Fairmont Dr, Sidney, OH 45365-3419 | 2020-09-29 |
| 1679180038 | Shauna S Holbert | Adult Companion | 3575 Farmstead Dr, Pickerington, OH 43147-8683 | 2020-09-29 |
| 1114534955 | Pamela Dupont | Adult Companion | 8595 Melody Ln, Macedonia, OH 44056-1732 | 2020-09-25 |
| 1750998589 | Molly E Guernsey | Adult Companion | 13 Sandpiper Ct, Amelia, OH 45102-1895 | 2020-09-25 |
| Find all providers with the same taxonomy | ||||
| City | INDEPENDENCE |
| Zip Code | 44131 |
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| 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.