MEDICARE: KEELEY HOME CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1366307902
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KEELEY HOME CARE LLC

Provider Business Mailing Address
First Line	:	3183 SETTLERS PASS
Second Line	:
City	:	SAGINAW
State	:	MI
Zip	:	48603-1193
Country	:	US
Telephone Number	:	989-780-8422
Fax Number	:

Provider Business Practice Location Address
First Line	:	3183 SETTLERS PASS
Second Line	:
City	:	SAGINAW
State	:	MI
Zip	:	48603-1193
Country	:	US
Telephone Number	:	989-780-8422
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. MICHAEL DANIEL LACKOWSKI
Credential	:	RN
Telephone Number	:	989-780-8422

Provider Enumeration Date	:	12/17/2025
Last Update Date	:	02/04/2026

Similar Medicare Providers

1457600702 — MR. GURCAN UREMEK PT
Practice Location Address:

3119 SETTLERS PASS
SAGINAW, MI
48603-1193

Practice Phone: 989-799-1452
Practice Fax: 989-799-1452

1366308389 — WILLIAM CHARLES AUTEN
Practice Location Address:

3570 SHATTUCK RD
SAGINAW, MI
48603-3153

Practice Phone: 989-792-5353
Practice Fax:

1578415725 — NY'TAIZJAH MCKETHER
Practice Location Address:

4973 FONTAINE BLVD APT G10
SAGINAW, MI
48603-3881

Practice Phone: 989-928-8592
Practice Fax:

1215274907 — ELIZABETH SUZANNE HERNDEN FNP-BC
Practice Location Address:

3201 HALLMARK CT
SAGINAW, MI
48603-2109

Practice Phone: 989-790-5990
Practice Fax: 989-790-5991

1518617562 — JULIANNA ORTIZ
Practice Location Address:

3665 BAY RD
SAGINAW, MI
48603-2445

Practice Phone: 989-799-6542
Practice Fax: 989-799-6681

1518961556 — BRIAN D. DUDENHOEFER MD
Practice Location Address:

2393 SCHUST RD
SAGINAW, MI
48603-1334

Practice Phone: 989-793-2820
Practice Fax: 989-755-1463

Directions to “KEELEY HOME CARE LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.