THOMAS H DAVISJR
CIN: UR59336U
Date of Birth: April 11, 1965
Gender: Male
Created: Aug. 13, 2026
Address:
1865 OCEAN AVE 1G
, BROOKLYN, NY 11230
Last Updated: Aug. 13, 2026 3:13 PM
Latest Eligibility Snapshot
Date of Service: Aug. 14, 2026
Medicaid Eligible:
Yes
Coverage: Aug. 1, 2026 — —
Plan: ELIGIBLE PCP
MCO: ELDERPLAN INC HOMEFIRST PARTIAL LTC
Recertification:
Yes — Aug. 31, 2026
Code 60:
No
S1:
Yes
Eligibility History
| Date of Service | Status | Recert | Code 60 | S1 | Import | 271 |
|---|---|---|---|---|---|---|
| Aug. 14, 2026 | Eligible | ✓ | — | ✓ | Expert Census Referrals - CIN_IMPORT (1).csv | View |