Provider Demographics
NPI:1245190537
Name:HERANI LLC
Entity type:Organization
Organization Name:HERANI LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER(MANAGING MEMBER)
Authorized Official - Prefix:
Authorized Official - First Name:TSEGANESH
Authorized Official - Middle Name:LENGISA
Authorized Official - Last Name:LERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-674-8250
Mailing Address - Street 1:2455 MASONS FERRY DR APT 204
Mailing Address - Street 2:
Mailing Address - City:HERNDON
Mailing Address - State:VA
Mailing Address - Zip Code:20171-3097
Mailing Address - Country:US
Mailing Address - Phone:703-674-8250
Mailing Address - Fax:
Practice Address - Street 1:2455 MASONS FERRY DR APT 204
Practice Address - Street 2:
Practice Address - City:HERNDON
Practice Address - State:VA
Practice Address - Zip Code:20171-3097
Practice Address - Country:US
Practice Address - Phone:703-674-8250
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-18
Last Update Date:2025-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)