MEDICARE: WINDSOR SUPPORTIVE SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251C00000X	Developmentally Disabled Services Day Training Agency

General Provider Information

NPI Number	:	1861342651
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WINDSOR SUPPORTIVE SERVICES

Provider Business Mailing Address
First Line	:	14 CORNWALL DR
Second Line	:
City	:	EAST WINDSOR
State	:	NJ
Zip	:	08520-1108
Country	:	US
Telephone Number	:	609-851-4310
Fax Number	:

Provider Business Practice Location Address
First Line	:	14 CORNWALL DR
Second Line	:
City	:	EAST WINDSOR
State	:	NJ
Zip	:	08520-1108
Country	:	US
Telephone Number	:	609-851-4310
Fax Number	:

Authorized Official
Title or Position	:	OWNER/CEO
Name	:	ZAKIA KABIR
Credential	:
Telephone Number	:	609-851-4310

Provider Enumeration Date	:	01/30/2026
Last Update Date	:	01/30/2026

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