Active NPI
Harrisburg Skilled LLC
- Skilled Nursing Facility
- Harrisburg, IL
National Provider Identifier
1245144575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- HARRISBURG SKILLED LLC
- Practice address
- 120 S Land St
Harrisburg, IL 62946-1849 - Phone
- (618) 252-7405
- NPI assigned
- Oct 2, 2026
- Last updated
- Oct 2, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Scott Kirby
- Title
- Manager
- Phone
- (619) 201-5888
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
120 S Land St
Harrisburg, IL 62946-1849
Mailing address
1817 Avenida del Diablo
Escondido, CA 92029-3112
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790899200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790899200000",
"number": "1245144575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1817 AVENIDA DEL DIABLO",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920293112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 S LAND ST",
"city": "HARRISBURG",
"state": "IL",
"postal_code": "629461849",
"telephone_number": "618-252-7405"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARRISBURG SKILLED LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-02",
"last_updated": "2026-10-02",
"certification_date": "2026-10-01",
"status": "A",
"authorized_official_last_name": "KIRBY",
"authorized_official_first_name": "SCOTT",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "619-201-5888"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harrisburg, IL
- Harrisburg Family Practice LTD (Primary Care Group)
- Harrisburg Medical Center Inc
- Harrisburg Medical Center Inc
- Harrisburg Medical Center Inc
- Harrisburg Medical Center Inc
- Megan Rae Harrison, BCBA
- Sarah Beth Hart, D.C.
- Jessica Hathaway, COTA/L
- Priscilla A. Hawkins, P.T.A.
- Kellie Marie Headrick, COTA/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.