EDDLY ANTOINE
CIN: ZA46003E
Date of Birth: Oct. 17, 1959
Gender: Female
Created: Aug. 13, 2026
Address:
961 EAST 173RD STREET 3C
, BRONX, NY 10460
Last Updated: Aug. 13, 2026 3:21 PM
Latest Eligibility Snapshot
Date of Service: Aug. 14, 2026
Medicaid Eligible:
Yes
Coverage: Aug. 1, 2026 — —
Plan: ELIGIBLE PCP
MCO: VILLAGE SENIOR SVC CORP PARTIAL LTC
Recertification:
Yes — April 30, 2027
Code 60:
No
S1:
No
Eligibility History
| Date of Service | Status | Recert | Code 60 | S1 | Import | 271 |
|---|---|---|---|---|---|---|
| Aug. 14, 2026 | Eligible | ✓ | — | — | Expert Census Referrals - CIN_IMPORT (1).csv | View |