Provider Demographics
NPI:1942634886
Name:UNIVERSITY HEIGHTS PREPARATORY ACADEMY
Entity Type:Organization
Organization Name:UNIVERSITY HEIGHTS PREPARATORY ACADEMY
Other - Org Name:FOUNTAIN SQUARE ACADEMY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:J
Authorized Official - Last Name:LORA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-536-1028
Mailing Address - Street 1:3919 MADISON AVE
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46227-1311
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3919 MADISON AVE
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46227-1311
Practice Address - Country:US
Practice Address - Phone:317-536-1028
Practice Address - Fax:317-423-2507
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-28
Last Update Date:2013-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)