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 ID AF0201C
Facility Name Evergreen Court Home for Adults SP, LLC
Operator Name Evergreen 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 Number 620-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 Beds 200
Assisted Living Program Beds 200

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 Name Evergreen Court Home for Adults SP, LLC
Street Address 65 Lafayette Street
City Spring Valley
County Rockland
State NY
Zip Code 10977

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Dataset Information

Data Provider New York State Department of Health, Division of ACF/Assisted Living Surveillance
Jurisdiction New 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.