Healthcare Provider Details

I. General information

NPI: 1811758287
Provider Name (Legal Business Name): THE KIM HILL GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2024
Last Update Date: 06/17/2025
Certification Date: 06/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1186 N LIONS GATE DR
MEMPHIS TN
38116-7818
US

IV. Provider business mailing address

1498 UNION AVE # 140
MEMPHIS TN
38104-3725
US

V. Phone/Fax

Practice location:
  • Phone: 800-399-4530
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: KIMBERLEY HILL
Title or Position: MANAGING PARTNER
Credential:
Phone: 800-399-4530