# KEELEY HOME CARE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366307902
- **Authorized official:** MR. MICHAEL DANIEL LACKOWSKI BBA, BSN, RN (CEO)
- **Authorized official phone:** (989) 780-8422

## Contact information

- **Practice address:** 4200 FASHION SQUARE BLVD STE 245, SAGINAW, MI 48603-1375
- **Practice address phone:** (989) 780-8422
- **Mailing address:** 4200 FASHION SQUARE BLVD STE 245, SAGINAW, MI 48603-1375
- **Mailing address phone:** (989) 780-8422

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | — | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 343900000X | Non-emergency Medical Transport (VAN) | — | — | — |
| 385H00000X | Respite Care | — | — | — |

## Other

- **Enumeration date:** 12/17/2025
- **Last updated:** 03/13/2026