COZIE'S SUPERVISED LIVING INC. NPI 1891838116

NPI Information

NPI: 1891838116
Provider Name: COZIE'S SUPERVISED LIVING INC.
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address: 7964 COUNTY LINE RD
LIBERTY, NC
ZIP 27298
Phone: (336) 549-1081

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NPI Details

COZIE'S SUPERVISED LIVING INC. is a community behavioral health in Liberty, NC. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. COZIE'S SUPERVISED LIVING INC. NPI is 1891838116. The provider is registered as an organization entity type.

The provider's business location address is:

7964 COUNTY LINE RD
LIBERTY, NC
ZIP 27298-590
Phone: (336) 549-1081
Fax: (336) 622-1420

The provider's authorized official is Crystal Dudley .
The authorized official title is Administrator and has the following contact phone number (336) 549-1081.

The enumeration date for this NPI number is 2/15/2007 and was last updated on 6/16/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities		MHL-001-074	NORTH CAROLINA	No
2	385H00000X	Respite Care		MHL-001-074	NORTH CAROLINA	No
3	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		MHL-001-074	NORTH CAROLINA	No
4	320800000X	Community Based Residential Treatment Facility, Mental Illness		MHL-001-074	NORTH CAROLINA	No
5	385HR2060X	Respite Care	Respite Care, Intellectual and/or Developmental Disabilities	MHL-001-074	NORTH CAROLINA	No
6	251S00000X	Community/Behavioral Health		MHL-001-074	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	3409308	MEDICAID	NORTH CAROLINA
2	8301579	MEDICAID	NORTH CAROLINA
3	7803981	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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