Organization Active NPI

Keeley Home Care LLC

  • In Home Supportive Care Agency
  • Saginaw, MI
National Provider Identifier
1366307902
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
KEELEY HOME CARE LLC
Practice address
4200 Fashion Square Blvd Ste 245
Saginaw, MI 48603-1375
Phone
(989) 780-8422
NPI assigned
Dec 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Michael Daniel Lackowski, BBA, BSN, RNNPI 1184336802
Title
Ceo
Phone
(989) 780-8422

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

4200 Fashion Square Blvd Ste 245
Saginaw, MI 48603-1375

Mailing address

4200 Fashion Square Blvd Ste 245
Saginaw, MI 48603-1375
Phone (989) 780-8422

National Provider Directory

National Provider Directory

Locations

4200 Fashion Square Blvd
Ste 245
Saginaw, MI 48603
Phone (989) 780-8422

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1765929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773360000000",
    "number": "1366307902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 FASHION SQUARE BLVD STE 245",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486031375",
            "telephone_number": "989-780-8422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 FASHION SQUARE BLVD STE 245",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486031375",
            "telephone_number": "989-780-8422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEELEY HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-17",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A",
        "authorized_official_last_name": "LACKOWSKI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "989-780-8422",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BBA, BSN, RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.