Healthcare Provider Details

I. General information

NPI: 1962320929
Provider Name (Legal Business Name): MORNING STAR SUPPORTIVE SERVICES CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

123 HIGHLAND AVE STE G3
GLEN RIDGE NJ
07028-1522
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: 551-312-8522
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number State

VIII. Authorized Official

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