Southeast Detox LLC
NPI 1710652052 · Substance Abuse Rehabilitation Facility · Rome, GA
Southeast Detox LLC is a Substance Abuse Rehabilitation Facility organization in Rome, GA (NPI 1710652052).
Provider details
- NPI number
- 1710652052
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Ryan Welch, Partner(770) 217-7832
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
- 2021-08-10
- Last updated
- 2021-08-10
- Certified
- 2021-08-10
Frequently asked questions
- What is Southeast Detox LLC's NPI number?
- Southeast Detox LLC's National Provider Identifier (NPI) is 1710652052, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southeast Detox LLC?
- Southeast Detox LLC is classified in the NPPES registry as Substance Abuse Rehabilitation Facility (Residential Treatment Facilities).
- Where is Southeast Detox LLC located?
- Southeast Detox LLC's practice location on file with NPPES is 4300 Martha Berry Hwy Ne, Rome, GA 30165-8642.
- What is Southeast Detox LLC's phone number?
- The practice phone number listed in the NPPES registry for Southeast Detox LLC is (770) 217-7832.
- Who is the authorized official for Southeast Detox LLC?
- The authorized official listed on Southeast Detox LLC's NPPES record is Ryan Welch, Partner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southeast Detox LLC's NPI active?
- Yes — Southeast Detox LLC's NPI (1710652052) is active in the NPPES registry as of the last update on 2021-08-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.