ANDRE ICE QMHS
NPI 1609604537
Case Manager/Care Coordinator in Detroit, MI
- Individual
- Male
- Case Manager/Care Coordinator
About ANDRE ICE
This page provides the complete NPI Profile along with additional information for Andre Ice, a provider established in Detroit, Michigan with a medical specialization in Case Manager/care Coordinator. The healthcare provider is registered in the NPI registry with number 1609604537 assigned on July 2024. The practitioner's primary taxonomy code is 171M00000X. The provider is registered as an individual and his NPI record was last updated March 2026.
- NPI
- 1609604537 Verify this NPI
- Provider Name
- ANDRE ICE QMHS
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 79 W ALEXANDRINE ST DETROIT, MI 48201
- Location Phone
- (313) 831-5535
- Location Fax
- (313) 831-2608
- Mailing Address
- 79 W ALEXANDRINE ST DETROIT, MI 48201
- Mailing Phone
- (313) 831-5535
- Mailing Fax
- (313) 831-2608
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-23-2024
- Last Update Date
- 03-09-2026
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Case Manager/Care Coordinator
- Taxonomy Code
- 171M00000X
- Type
- Other Service Providers
- Taxonomy Description
- A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 171M00000X | Other Service Providers | Case Manager/Care Coordinator | (MI) |
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
DETROIT, MI 48201
DETROIT, MI 48201
DETROIT, MI 48201
DETROIT, MI 48201
DETROIT, MI 48201
DETROIT, MI 48201
DETROIT, MI 48201
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609604537, enumerated as an "individual" on July 23, 2024.
The provider is located at 79 W ALEXANDRINE ST DETROIT, MI 48201 and the phone number is (313) 831-5535.
Case Manager/Care Coordinator with taxonomy code 171M00000X.
