Provider Demographics
NPI:1285523647
Name:ADVANCE INTERVENTION SERVICES
Entity type:Organization
Organization Name:ADVANCE INTERVENTION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:TUKWAJE
Authorized Official - Last Name:MICHAEL
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:402-319-1264
Mailing Address - Street 1:3610 DODGE ST STE 105
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68131-3218
Mailing Address - Country:US
Mailing Address - Phone:402-319-1264
Mailing Address - Fax:402-319-1264
Practice Address - Street 1:3610 DODGE ST STE 105
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68131-3218
Practice Address - Country:US
Practice Address - Phone:402-319-1264
Practice Address - Fax:402-319-1264
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-01
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care