Sid'S Place Incorporated
NPI 1174823595 · Assisted Living Facility · Ellenwood, GA
Sid'S Place Incorporated is a Assisted Living Facility organization in Ellenwood, GA (NPI 1174823595).
Provider details
- NPI number
- 1174823595
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Zannie Black, Owner(678) 557-8969
- License
- 031012928 (GA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-11-01
- Last updated
- 2010-11-01
Frequently asked questions
- What is Sid'S Place Incorporated's NPI number?
- Sid'S Place Incorporated's National Provider Identifier (NPI) is 1174823595, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sid'S Place Incorporated?
- Sid'S Place Incorporated is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Sid'S Place Incorporated located?
- Sid'S Place Incorporated's practice location on file with NPPES is 2742 Luke Dr, Ellenwood, GA 30294-3987.
- What is Sid'S Place Incorporated's phone number?
- The practice phone number listed in the NPPES registry for Sid'S Place Incorporated is (678) 557-8969.
- Who is the authorized official for Sid'S Place Incorporated?
- The authorized official listed on Sid'S Place Incorporated's NPPES record is Zannie Black, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sid'S Place Incorporated's NPI active?
- Yes — Sid'S Place Incorporated's NPI (1174823595) is active in the NPPES registry as of the last update on 2010-11-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.