MEDICARE: SSZ, INC

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	320600000X	Intellectual and/or Developmental Disabilities Residential Treatment Facility
2	253Z00000X	In Home Supportive Care Agency	012071	TX
3	302R00000X	Health Maintenance Organization

General Provider Information

NPI Number	:	1285795575
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SSZ, INC

Provider Business Mailing Address
First Line	:	13715 HILLINGDALE LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-3753
Country	:	US
Telephone Number	:	281-469-9800
Fax Number	:	281-469-9815

Provider Business Practice Location Address
First Line	:	13715 HILLINGDALE LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-3753
Country	:	US
Telephone Number	:	281-469-9800
Fax Number	:	281-469-9815

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MRS. ERIKA JOHNSON
Credential	:
Telephone Number	:	281-469-9800

Provider Enumeration Date	:	12/12/2006
Last Update Date	:	03/25/2009

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Directions to “SSZ, INC ” Practice Location

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