Tiffany Renee Fernandez

Individual provider Active NPI Personal Care Attendant · Lennon, MI

NPI 1609765270 · NPPES record last updated Jun 30, 2025

Key facts

NPI
1609765270
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
1351 S Overland Dr
Lennon, MI 48449-9673
Phone
(989) 998-9331
NPI assigned
Jun 30, 2025
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Labaza Eyecare, P.C. Past
since Jul 9, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Yes

Addresses

Primary practice location

1351 S Overland Dr
Lennon, MI 48449-9673

Mailing address

11410 E Lennon Rd
Lennon, MI 48449-9666
Phone (810) 621-4721

Other providers in Lennon, MI

All providers in Lennon, MI · Personal Care Attendant in Michigan

Sources for this page

Verify at the official NPI Registry.