CANANDRA GOODALL
NPI 1225886856
Technician - Attendant Care Provider in Indianapolis, IN

Active since May 08, 2024
9165 OTIS AVE STE 229, INDIANAPOLIS, IN 46216(317) 455-6744 Get Directions Write a Review

NPPES record last updated: July 31, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 31, 2024, May 8, 2024 (2 updates tracked since 2024).

About Canandra Goodall NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CANANDRA GOODALL (NPI 1225886856) is an individual attendant care provider provider in Indianapolis, Indiana, licensed in Indiana (23016345-1) and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1225886856
Entity TypeIndividualFemale
Primary Taxonomy3747A0650X
Provider Legal NameCANANDRA GOODALL
Location Address9165 OTIS AVE STE 229Indianapolis, IN 46216-2321
Mailing Address9165 Otis Ave Ste 229Indianapolis, IN 46216-2321 · (317) 455-6744
Sole ProprietorNo
Enumeration DateMay 8, 2024
Last NPPES UpdateJuly 31, 20242 updates tracked since enumeration
NPPES CertifiedJuly 31, 2024
✔ NPI 1225886856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Attendant Care ProviderNursing Service Related Providers
Taxonomy Code3747A0650X
License✔ Licensed in IN · 23016345-1
Definition
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
9165 OTIS AVE STE 229, Indianapolis, IN 46216

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

In Home Supportive Care
9165 OTIS AVE STE 229
INDIANAPOLIS, IN 46216

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Canandra Goodall's NPI number?

The NPI number for Canandra Goodall is 1225886856. It was assigned to this individual provider in the NPPES registry on May 8, 2024.

Where is Canandra Goodall located?

Canandra Goodall practices at 9165 Otis Ave Ste 229, Indianapolis, IN 46216. The listed phone number is (317) 455-6744.

What is Canandra Goodall's specialty?

The primary specialty registered for this NPI is Technician, specializing in Attendant Care Provider, with taxonomy code 3747A0650X.

When was this NPI record last updated?

The NPPES record for Canandra Goodall was last updated on July 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.