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General NPI Number Information
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NPI Number | 1366307902
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Entity Type | Organization
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Legal Business Name | KEELEY HOME CARE LLC
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Dates
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Enumeration Date | 12/17/2025
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 3183 SETTLERS PASS
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City | SAGINAW
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State | MI
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Zip | 48603-1193
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Country | US
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Telephone | 989-780-8422
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Fax |
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Provider Business Mailing Address
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Address Line | 3183 SETTLERS PASS
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City | SAGINAW
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State | MI
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Zip | 48603-1193
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Country | US
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Telephone | 989-780-8422
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. MICHAEL DANIEL LACKOWSKI
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Credential | RN
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Telephone | 989-780-8422
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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