Healthcare Provider Details

I. General information

NPI: 1326923608
Provider Name (Legal Business Name): MORNING STAR SUPPORTIVE SERVICES CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2025
Last Update Date: 08/07/2025
Certification Date: 08/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 GORGE RD APT 7H
CLIFFSIDE PARK NJ
07010-2228
US

IV. Provider business mailing address

2509 PARK AVE STE LLD
SOUTH PLAINFIELD NJ
07080-5300
US

V. Phone/Fax

Practice location:
  • Phone: 551-312-8522
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: HALIMAT AKANBI
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 551-312-8522