TINATIN KHULUZAURI
CIN: SE44187H
Date of Birth: April 24, 1958
Gender: Female
Created: Aug. 9, 2026
Address:
2821 WEST 12TH STREET 8A
, BROOKLYN, NY 11224
Last Updated: Aug. 9, 2026 3:49 PM
Latest Eligibility Snapshot
Date of Service: Sept. 14, 2026
Medicaid Eligible:
Yes
Coverage: Sept. 1, 2026 — —
Plan: ELIGIBLE PCP
MCO: ELDERSERVE HEALTH INC MLTCP
Recertification:
Yes — Oct. 31, 2026
Code 60:
No
S1:
No
Eligibility History
| Date of Service | Status | Recert | Code 60 | S1 | Import | 271 |
|---|---|---|---|---|---|---|
| Sept. 14, 2026 | Eligible | ✓ | — | — | Client Details - October_Month_CINs.csv | View |
| Aug. 12, 2026 | Eligible | ✓ | — | — | Just care Census ( Prem) - Just_Care_Census_CIN.csv | View |
| Aug. 6, 2026 | Eligible | ✓ | — | — | Just care Census ( Prem) - Just_Care_Census_CIN.csv | View |
| Aug. 6, 2026 | Eligible | ✓ | — | — | Just care Census ( Prem) - Just_Care_Census_CIN.csv | View |