VIVIANA A MANTUANO
CIN: UM57198U
Date of Birth: Dec. 20, 1946
Gender: Female
Created: Sept. 14, 2026
Address:
80-61 161ST ST 1
, JAMAICA, NY 11432
Last Updated: Sept. 14, 2026 7:21 AM
Latest Eligibility Snapshot
Date of Service: Sept. 14, 2026
Medicaid Eligible:
Yes
Coverage: Sept. 1, 2026 — —
Plan: ELIGIBLE PCP
MCO: VILLAGE SENIOR SVC CORP PARTIAL LTC
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 |