Provider Demographics
NPI:1740061472
Name:HERITAGE CHARTER ACADEMY INC
Entity type:Organization
Organization Name:HERITAGE CHARTER ACADEMY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:MS
Authorized Official - First Name:SHELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:HOMAN
Authorized Official - Suffix:
Authorized Official - Credentials:EDS
Authorized Official - Phone:239-829-5134
Mailing Address - Street 1:2107 SANTA BARBARA BLVD
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33991-4335
Mailing Address - Country:US
Mailing Address - Phone:239-829-5134
Mailing Address - Fax:
Practice Address - Street 1:2107 SANTA BARBARA BLVD
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33991-4335
Practice Address - Country:US
Practice Address - Phone:239-829-5134
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-09
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)