Evergreen Court Home for Adults SP, LLC
Evergreen Court Home for Adults SP, LLC

address: 65 Lafayette Street, Spring Valley, NY 10977
phone: (845) 356-7700

Evergreen Court Home for Adults SP, LLC (Facility# AF0201C) is an adult care facility licensed with New York State Department of Health, Division of ACF/Assisted Living Surveillance.

Facility Overview

Facility IDAF0201C
Facility NameEvergreen Court Home for Adults SP, LLC
Operator NameEvergreen Court Home for Adults SP, LLC
Street Address 65 Lafayette Street
Spring Valley
NY 10977
County Rockland
Phone Number(845) 356-7700
Fax Number(845) 352-6244
Certificate Number620-F-078
Facility Type Adult Home (AH)
Assisted Living Program (ALP)
Facility Classification Private Proprietary Home for Adults (PPHA)
Regional Office Metropolitan Area Regional Office (MARO)

Bed Types

Total Number of Beds200
Assisted Living Program Beds200

Annual Survey

Year Capacity Residents Ages Payment Sources Admissions / Discharges Reported By
2016 200
(ALP: 200)
123
(Male: 69, Female: 54, Serious Mental Illness: 28, ALP: 65)
18-55: 14, 56-65: 52, 66-80: 48, 81+: 9 Private Pay: 15, Spend Down: 12, SSI (Supplemental Security Income): 91 20 / 21 Evergreen Court Home for Adults SP, LLC
2015 200 125
(Male: 77, Female: 48, Serious Mental Illness: 31)
18-55: 21, 56-65: 51, 66-80: 41, 81+: 12 Private Pay: 29, Spend Down: 3, SSI (Supplemental Security Income): 96 29 / 30 Evergreen Court Home for Adults SP, LLC
ALP: Assisted Living Program, ALR: Assisted Living Residence, EALR: Enhanced Assisted Living Residence, SNALR: Special Needs Assisted Living Residence.

Facility Location

Facility NameEvergreen Court Home for Adults SP, LLC
Street Address65 Lafayette Street
CitySpring Valley
CountyRockland
State NY
Zip Code10977

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Competitor

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Dataset Information

Data ProviderNew York State Department of Health, Division of ACF/Assisted Living Surveillance
JurisdictionNew York State

This dataset includes 500 adult care facilities that are currently licensed in New York State, through the New York State Department of Health (NYSDOH), Division of ACF/Assisted Living Surveillance. NYSDOH licenses and supervises adult care facilities which provide temporary or long-term, non-medical residential care services to adults who are substantially unable to live independently. Each facility is registered with facility ID, facility name, operator name, locatioin, certificate number, number of beds, etc.