Holbrook Adult Home (Facility# AF0062C) is an adult care facility licensed with New York State Department of Health, Division of ACF/Assisted Living Surveillance.
| Facility ID | AF0062C |
| Facility Name | Holbrook Adult Home |
| Operator Name | 73 North of Granville, Inc. |
| Street Address |
73 North Street Granville NY 12832 |
| County | Washington |
| Phone Number | (518) 642-3476 |
| Fax Number | (518) 642-3801 |
| Certificate Number | 760-F-014 |
| Facility Type | Adult Home (AH) |
| Facility Classification | Private Proprietary Home for Adults (PPHA) |
| Regional Office | Capital District Regional Office (CDRO) |
| Total Number of Beds | 33 |
| Year | Capacity | Residents | Ages | Payment Sources | Admissions / Discharges | Reported By |
|---|---|---|---|---|---|---|
| 2016 | 33 |
27 (Male: 7, Female: 20, Serious Mental Illness: 1) |
18-55: 1, 56-65: 1, 66-80: 6, 81+: 21 | Private Pay: 23, Spend Down: 0, SSI (Supplemental Security Income): 4 | 7 / 11 | Holbrook Adult Home |
| 2015 | 33 |
31 (Male: 7, Female: 24, Serious Mental Illness: 2) |
18-55: 1, 56-65: 2, 66-80: 4, 81+: 24 | Private Pay: 27, Spend Down: 0, SSI (Supplemental Security Income): 4 | 12 / 10 | Holbrook Adult Home |
| 2014 | 33 |
29 (Male: 6, Female: 23, Serious Mental Illness: 2) |
18-55: 1, 56-65: 1, 66-80: 5, 81+: 22 | Private Pay: 24, Spend Down: 0, SSI (Supplemental Security Income): 5 | 13 / 10 | Holbrook Adult Home |
| ALP: Assisted Living Program, ALR: Assisted Living Residence, EALR: Enhanced Assisted Living Residence, SNALR: Special Needs Assisted Living Residence. | ||||||
| Facility Name | Holbrook Adult Home |
| Street Address | 73 North Street |
| City | Granville |
| County | Washington |
| State | NY |
| Zip Code | 12832 |
| Facility Name | Operator | Address | #Beds |
|---|---|---|---|
| The Cambridge | ICC Management and Consulting, Inc. | 4 West Main Street, Cambridge, NY 12816 | 40 |
| Argyle Center for Independent Living | Washington AH Operations Associates LLC | 4573 State Route 40, Argyle, NY 12809 | 35 |
| The Mansion at South Union | ICC Management & Consulting, Inc. | 11 South Union Street, Cambridge, NY 12816 | 34 |
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| 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.