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Cozie'S Supervised Living Inc

Psychiatric Residential Treatment Facility in Liberty, NC · enumerated 2009 · authorized official Crystal Shoffner, Executive Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1770727281

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Registry record

Entity type Organization (Type 2)
Legal business name Cozie'S Supervised Living Inc
Practice address 7964 County Line Rd, Liberty, NC, 27298
Phone (336) 622-2754
Fax (336) 622-1420
Enumeration date Apr 28, 2009
Last updated in NPPES Sep 19, 2016

Taxonomy & classification

323P00000X Psychiatric Residential Treatment Facility Residential Treatment Facilities · License MHL-076-098 (NC) Secondary
323P00000X Psychiatric Residential Treatment Facility Residential Treatment Facilities · License MHL-001-074 (NC) Primary

Authorized official

Name Crystal Shoffner
Title Executive Director
Phone (336) 549-1081

Other identifiers

Identifier Type State Issuer
3409308 Medicaid NC -
7803981 Medicaid NC -

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.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2016-09-19. Verify at npiregistry.cms.hhs.gov.
Where is Cozie'S Supervised Living Inc located?
The practice location on file with NPPES is in Liberty, NC.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-09-19.