Provider Demographics
NPI:1013573021
Name:JUST ONE STEP, LLC
Entity Type:Organization
Organization Name:JUST ONE STEP, LLC
Other - Org Name:SYNERGY HOMECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROSS
Authorized Official - Middle Name:BLAKE
Authorized Official - Last Name:FIERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-922-5387
Mailing Address - Street 1:11140 ROCKVILLE PIKE STE 400
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-3104
Mailing Address - Country:US
Mailing Address - Phone:301-922-5387
Mailing Address - Fax:301-200-1415
Practice Address - Street 1:11140 ROCKVILLE PIKE STE 400
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-3104
Practice Address - Country:US
Practice Address - Phone:301-922-5387
Practice Address - Fax:301-200-1415
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-15
Last Update Date:2019-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376G00000XNursing Service Related ProvidersNursing Home AdministratorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDR4034OtherRSA LEVEL ONE LICENSE MARYLAND