Southeast Detox LLC
Southeast Detox LLC is a healthcare organization registered as Substance Abuse Rehabilitation Facility in Rome, GA, holding Type 2 (organization) NPI 1710652052 since 2021. The authorized official on file is Ryan Welch, Partner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1710652052 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Southeast Detox LLC |
| Practice address | 4300 MARTHA BERRY HWY NE, Rome, GA, 30165 |
| Phone | 7702177832 |
| Enumeration date | 2021-08-10 |
| Last updated in NPPES | 2021-08-10 |
Authorized official
| Name | Ryan Welch |
|---|---|
| Title | Partner |
| Phone | 7702177832 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | Primary | — | — |
Copy-ready billing details
Provider: Southeast Detox LLC NPI: 1710652052 Taxonomy: 324500000X (Substance Abuse Rehabilitation Facility) Address: 4300 MARTHA BERRY HWY NE, Rome, GA, 30165
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1306276498 | Mt Berry Hospice Inc. | Organization | Inpatient Hospice | Rome, GA |
| 1578190450 | Four-Sixty Inc | Organization | Inpatient Hospice | Rome, GA |
Verify this record
Cross-check NPI 1710652052 against the authoritative CMS record: view Southeast Detox LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Southeast Detox LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2021-08-10.