COZIE'S SUPERVISED LIVING INC
NPI 1770727281
Psychiatric Residential Treatment Facility in Liberty, NC

Active since April 28, 2009
7964 COUNTY LINE RD, LIBERTY, NC 27298(336) 622-2754(336) 622-1420 Get Directions Write a Review

NPPES record last updated: September 19, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cozie's Supervised Living Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COZIE'S SUPERVISED LIVING INC (NPI 1770727281) is a healthcare organization registered as a psychiatric residential treatment facility in Liberty, North Carolina and active in the NPI registry since April 2009. The organization lists Crystal Demetrus Shoffner, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1770727281
Entity TypeOrganization
Primary Taxonomy323P00000X
Legal Business NameCOZIE'S SUPERVISED LIVING INC
Location Address7964 COUNTY LINE RDLiberty, NC 27298-9590
Mailing Address7964 County Line RdLiberty, NC 27298-9655 · (336) 622-2754 · Fax (336) 622-1420
Fax(336) 622-1420
Organization SubpartNo
Authorized OfficialCrystal Demetrus ShoffnerExecutive Director · (336) 549-1081
Enumeration DateApril 28, 2009
Last NPPES UpdateSeptember 19, 2016
NPI 1770727281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatric Residential Treatment FacilityResidential Treatment Facilities
Taxonomy Code323P00000X
Licenses Licensed in NC · MHL-001-074 Licensed in NC · MHL-076-098
Definition
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
7964 COUNTY LINE RD, Liberty, NC 27298

Other Identifiers 2

Medicaid7803981NC
Medicaid3409308NC

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community/Behavioral Health
7964 COUNTY LINE RD
LIBERTY, NC 27298
Home Health
7964 COUNTY LINE RD, A
LIBERTY, NC 27298

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cozie's Supervised Living Inc's NPI number?

The NPI number for Cozie's Supervised Living Inc is 1770727281. It was assigned to this organization in the NPPES registry on April 28, 2009.

Where is Cozie's Supervised Living Inc located?

Cozie's Supervised Living Inc is located at 7964 County Line Rd, Liberty, NC 27298. The listed phone number is (336) 622-2754.

What is Cozie's Supervised Living Inc's specialty?

The primary specialty registered for this NPI is Psychiatric Residential Treatment Facility with taxonomy code 323P00000X.

When was this NPI record last updated?

The NPPES record for Cozie's Supervised Living Inc was last updated on September 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.