GRIMEN N LEDESMA
CIN: RP23472S
Date of Birth: Aug. 12, 1953
Gender: Male
Created: Sept. 14, 2026
Address:
1689 ST JOHNS PLACE 1A
, BROOKLYN, NY 11233
Last Updated: Sept. 14, 2026 7:18 AM
Latest Eligibility Snapshot
Date of Service: Sept. 14, 2026
Medicaid Eligible:
Yes
Coverage: Sept. 1, 2026 — —
Plan: ELIGIBLE PCP
MCO: COORDINATED BEHAVIORAL CARE INC
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 |