SRC SERVICES, INC.
NPI 1417077157
Durable Medical Equipment & Medical Supplies - Parenteral & Enteral Nutrition in Needham, MA

Active since March 29, 2007
63 KENDRICK ST, NEEDHAM, MA 02494(781) 707-9551(781) 707-9555 Get Directions Write a Review

NPPES record last updated: April 30, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Src Services, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SRC SERVICES, INC. (NPI 1417077157) is a healthcare organization registered as a parenteral & enteral nutrition in Needham, Massachusetts and active in the NPI registry since March 2007. The organization lists Jonathan E. Gould, Senior Vice President, as its authorized official.

NPPES Registry Identity

NPI1417077157
Entity TypeOrganization
Primary Taxonomy332BP3500X
Legal Business NameSRC SERVICES, INC.
Location Address63 KENDRICK STNeedham, MA 02494-2708
Mailing Address63 Kendrick StNeedham, MA 02494-2708 · (781) 707-9551 · Fax (781) 707-9555
Fax(781) 707-9555
Organization SubpartNo
Authorized OfficialJonathan E. GouldSenior Vice President · (781) 707-9551
Enumeration DateMarch 29, 2007
Last NPPES UpdateApril 30, 2010
NPI 1417077157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

63 KENDRICK ST, Needham, MA 02494

Other Identifiers 2

Medicaid110028722BMA
Medicare NSC5343480001MA

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Hospice Care, Community Based
63 KENDRICK ST, ONE CHARLES RIVER PLACE
NEEDHAM, MA 02494
Home Health
63 KENDRICK ST
NEEDHAM, MA 02494
Hospice Care, Community Based
63 KENDRICK ST
NEEDHAM, MA 02494
Nurse Practitioner (Family)
63 KENDRICK ST
NEEDHAM, MA 02494

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Src Services, Inc.'s NPI number?

The NPI number for Src Services, Inc. is 1417077157. It was assigned to this organization in the NPPES registry on March 29, 2007.

Where is Src Services, Inc. located?

Src Services, Inc. is located at 63 Kendrick St, Needham, MA 02494. The listed phone number is (781) 707-9551.

What is Src Services, Inc.'s specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Parenteral & Enteral Nutrition, with taxonomy code 332BP3500X.

When was this NPI record last updated?

The NPPES record for Src Services, Inc. was last updated on April 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.