Build & AccessAll Boro Maintenance LLC

New York & New Jersey contractor

Safer homes. More independent lives.

AB Build & Access (All Boro Maintenance LLC) builds wheelchair ramps, accessible bathrooms, lifts and home safety modifications for people with disabilities, seniors and veterans across New York and New Jersey, paid for by Medicaid plans, state programs, the VA, insurers or families. We treat every home like it is the only one we are working on.

Book a free home visitCall 929-442-2707

Case manager or coordinator? Refer a client · Health plan or agency? Partner with us

NJ HIC#13VH12878400
Approved Acumen vendor#312504
Call or text929-442-2707
A smiling woman in a wheelchair outside the front door of her home

What we do

Home modifications, done with care

For people with disabilities, seniors and veterans, and the case managers and programs that support them.

Ramp with sturdy blue handrails along a walkway
Wheelchair rampsCode-compliant ramps, landings and railings for safe entry.
A woman in a wheelchair using a handheld shower in an accessible bathroom
Accessible bathroomsRoll-in and walk-in showers, tub conversions, comfort-height fixtures.
A woman in a wheelchair at the doorway of her home
Doorway wideningWider openings and offset hinges for wheelchairs and walkers.
A toilet with a fold-down grab bar
Grab bars & handrailsSecurely anchored support where it is needed most.
A man walking down stairs holding the handrail
Floors & stairsSlip-resistant flooring, level thresholds and safer stairs.
A technician securing a fixture on a wall
Home safety repairsDurable materials, protected wiring and safety fixes approved by the program.
A woman in a wheelchair using her kitchen sink
Kitchen accessReachable counters, sinks and controls where approved.
Book a free home visitRefer a clientHow it works

Who we serve

Every family, every home

We work with people of every age, background and ability across New York and New Jersey, and with the coordinators, agencies and programs that support them.

A young man with Down syndrome laughing with an older family member
Adults with developmental disabilitiesNJ DDD and NY OPWDD participants, living at home or in their own place.
A smiling young Black man sitting in a wheelchair
Wheelchair usersRamps, wider doors and roll-in showers built around the chair.
A smiling boy with Down syndrome at home
Children and teensSafe bathrooms, secure doors and room to grow, through children's waiver programs.
An older Asian woman with a cane sitting with her grandson at the front door of their home
Seniors aging in placeGrab bars, railings and step-free entries so home stays home.
An older Black man in a cap in front of an American flag
VeteransItemized quotes for VA HISA and adapted housing grants.
A Latino family sharing dinner around the kitchen table
Families and caregiversClear answers in plain language, and a crew that respects your home.

Our promise

Every customer is our only customer

A home modification is personal. Behind every ramp and every bathroom is a person with their own needs, routines, worries and pride. We take the time to listen, we explain every step in plain language, and we build around the person, not a template. That care is the part of our work we are proudest of.

We listen firstBefore we measure anything, we ask how the home is used today and what would make life easier.
We respect the homeClean work areas, a safe way in and out every day, and care for everything that is not part of the job.
We explain everythingFamilies, coordinators and payers get the same clear scope, schedule and photos at every step.
We finish what we promiseFinal walk-through with the family, sign-off, and a one-year workmanship warranty.

Before & after

Bathroom safety modification

A real bathroom we are working on. Finished photos coming soon.

A bathroom before work begins: an older tub and worn tile wallsBefore
Bathroom safety modification, finished photos coming soon. Shared with the homeowner's permission.

What a bathroom safety modification can include

  • Durable, easy-to-clean tubs and showers
  • Anti-scald valves and easy-to-reach controls
  • Sealed wall panels in place of broken tile
  • Slip-resistant flooring and level thresholds
  • Grab bars, safe mirrors and fixtures
  • Permits, inspections and licensed plumbing

Every job is built to the person's own evaluation and approval. Nothing is added that the family or the program did not agree to.

Start here

What brings you here?

VeteransVA home modification grantsGet started → Case managers & coordinatorsRefer a clientSend a referral → Families & homeownersMake a home saferRequest an assessment → Health plans, VA, agenciesAdd us as a vendorPartner with us → Trades & crewsWork as a subcontractorApply → Need our paperwork?COI, W-9 & vendor formsRequest documents →

AB Access

How an accessibility job works

Every job follows the same path, and families, case managers and payers can follow along in our job portal.

  1. Referral

    A case manager, coordinator, health plan or family contacts us.

  2. Home visit

    We measure every room and entry involved and photograph existing conditions.

  3. Itemized quote

    Written to the evaluator's specifications and the program's rules.

  4. Approval

    The payer authorizes the work. Nothing starts before approval.

  5. Install

    Scheduled with the family, with progress photos posted to the portal.

  6. Sign-off & billing

    Walk-through, after photos, sign-off, then we bill the payer.

Who pays for it?

Most families don't pay out of pocket

Home modifications are often covered by a program or health plan. Tell us who supports you and we'll help you figure out the rest.

NJ DDDFor people with developmental disabilities, paid through Acumen. We are an approved Acumen vendor. Medicaid health plansNJ FamilyCare, MLTSS and NY Medicaid long-term care plans can cover home modifications. VeteransVA home improvement (HISA) and adapted housing (SAH / SHA) grants. Private payA clear written quote first, with no surprises.

Not sure which applies to you? Call us, we'll walk you through it.

Questions families ask

Simple answers

Does the home visit cost anything?

No. We come out, listen, measure and take photos at no charge.

Will you work with my support coordinator or case manager?

Yes. We work with coordinators, care managers, evaluators and health plans every day, and keep everyone updated in our job portal.

I'm a support coordinator. Where do I send the evaluation?

Use the secure upload link for the job. Sign in with the Client login, open the participant's job and click Upload documents securely under Documents to add the OT/PT evaluation, approval letter, SDR or prior authorization. Please don't email evaluations or post health details in the portal. New referral? Send the referral first (initials only, no health details) and we'll open the job and send you the secure link.

When does the work start?

Only after the program or health plan approves it in writing. We'll tell you where things stand at every step.

Do I need to move out during the work?

Usually not. We keep a safe way in and out of the home and clean up every day.

Are you licensed and insured?

Yes. We are a registered New Jersey home improvement contractor (#13VH12878400), carry liability insurance, use licensed electricians and plumbers for that work, and are registered with a National Provider Identifier (NPI 1215831789) as a home modifications contractor.

Which areas do you serve?

New York City, the Hudson Valley, and northern and central New Jersey.

NJ licensedHIC #13VH12878400
Approved vendorAcumen #312504 (NJ DDD)
InsuredGeneral liability coverage
NPI 1215831789Home modifications contractor (171WH0202X)

Already working with us?

Client & vendor login

Approved scope, schedule, room-by-room measurements, before and after photos and updates for every job. Support coordinators and evaluators send evaluations and approvals through each job's secure upload link. Subcontractors upload insurance, sign agreements and track payments in the same place.

Client loginFamilies, support coordinators, health plans, Acumen, DDD, VA. Secure upload for evaluations and approvals→ Vendor loginSubcontractors and vendors: insurance, W-9, agreement, jobs and payments→
Call usFree home visit