Prangchat Fakto
NPI 1902509151ActiveIndividual· Assisted Living Facility· Jeffersonville, IN
Assisted Living Facility with Healthpro Heritage Rehab and Fitness LLC, practicing in Jeffersonville, Indiana. Enrolled in Medicare as practitioner - qualified speech language pathologist and practitioner - qualified speech language pathologist.
Overview
| NPI | 1902509151 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Mar 27, 2023 |
| Last updated in NPPES | Sep 11, 2025 |
| Certified by provider | Sep 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Assisted Living Facility Primary | 310400000X | — | — |
| Speech-Language Pathologist | 235Z00000X | 22008398A | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Speech Language Pathologist (IN); Practitioner - Qualified Speech Language Pathologist (KY) |
|---|
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Qualified Speech Language Pathologist |
Medical group
- Healthpro Heritage Rehab and Fitness LLCKingwood, TX · 969 clinicians
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