Carlucci Homes, Inc.
Carlucci Homes, Inc.


Address: 516 Mullock Road, Port Jervis, NY 12771
Phone: (914) 443-6835

Carlucci Homes, Inc. (Facility# AF0830A) is an adult care facility licensed with New York State Department of Health, Division of ACF/Assisted Living Surveillance.

Facility Overview

Facility ID AF0830A
Facility Name Carlucci Homes, Inc.
Operator Name Carlucci Homes, Inc.
Street Address 516 Mullock Road
Port Jervis
NY 12771
County Orange
Phone Number (914) 443-6835
Fax Number (845) 355-7700
Certificate Number 540-F-034
Facility Type Adult Home (AH)
Facility Classification Private Proprietary Home for Adults (PPHA)
Regional Office Metropolitan Area Regional Office (MARO)

Bed Types

Total Number of Beds 23
Assisted Living Residence (ALR) Beds 23
Enhanced ALR Beds 19

Annual Survey

Year Capacity Residents Ages Payment Sources Admissions / Discharges Reported By
2016 23
(ALR: 4, EALR: 19)
20
(Male: 0, Female: 20, ALR: 9, EALR: 11)
18-55: 0, 56-65: 0, 66-80: 1, 81+: 21 Private Pay: 20, Spend Down: 0, SSI (Supplemental Security Income): 0 9 / 10 Carlucci Homes. Inc,
2015 23
(ALR: 4, EALR: 19)
21
(Male: 0, Female: 21, Serious Mental Illness: 1, ALR: 9, EALR: 12)
18-55: 0, 56-65: 0, 66-80: 2, 81+: 19 Private Pay: 21, Spend Down: 0, SSI (Supplemental Security Income): 0 6 / 9 Carlucci Homes. Inc,
2014 23
(ALR: 4, EALR: 19)
20
(Male: 0, Female: 20, Serious Mental Illness: 1, ALR: 13, EALR: 7)
18-55: 0, 56-65: 0, 66-80: 1, 81+: 19 Private Pay: 20, Spend Down: 0, SSI (Supplemental Security Income): 0 16 / 8 Carlucci Homes. Inc,
2013 23
(ALR: 13, EALR: 10)
12
(Male: 0, Female: 12, ALR: 9, EALR: 3)
18-55: 0, 56-65: 0, 66-80: 1, 81+: 11 Private Pay: 12, Spend Down: 0, SSI (Supplemental Security Income): 0 12 / 0 Carlucci Homes. Inc,
ALP: Assisted Living Program, ALR: Assisted Living Residence, EALR: Enhanced Assisted Living Residence, SNALR: Special Needs Assisted Living Residence.

Facility Location

Facility Name Carlucci Homes, Inc.
Street Address 516 Mullock Road
City Port Jervis
County Orange
State NY
Zip Code 12771

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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.