Provider Demographics
NPI:1255198032
Name:HERANA SERVICES LLC
Entity type:Organization
Organization Name:HERANA SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANOTA
Authorized Official - Middle Name:LYDIA
Authorized Official - Last Name:RIMAN
Authorized Official - Suffix:
Authorized Official - Credentials:BSN-RN
Authorized Official - Phone:571-299-7385
Mailing Address - Street 1:15060 GALAPAGOS PL
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22193-5844
Mailing Address - Country:US
Mailing Address - Phone:571-299-7385
Mailing Address - Fax:
Practice Address - Street 1:15060 GALAPAGOS PL
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22193-5844
Practice Address - Country:US
Practice Address - Phone:571-299-7385
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-28
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care