Mahoning Valley Convalescent Home, Inc.

Enrollment entity

Provider / enrollment organization Enrollment PAC 6608902556 Enrollment ID O20100330000624

Linked facilitiesFacilities

StatesStates

4 parties: 1 organizations · 3 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Teresa Stoffa	9537295498	Individual	Operational/Managerial Control	—
Sapphire Unlimited Holdings Inc.	3274841853	Organization	5% or Greater Direct Ownership Interest; 5% or Greater Mortgage Interest; 5% or Greater Security Interest	100, 54
Devon Mickey	4183932767	Individual	5% or Greater Indirect Ownership Interest; Corporate Officer	90
Michael Mickey	7719013671	Individual	5% or Greater Indirect Ownership Interest; Corporate Officer	10

Teresa StoffaPAC 9537295498
IndividualOperational/Managerial Control
Sapphire Unlimited Holdings Inc.PAC 3274841853
Organization100, 545% or Greater Direct Ownership Interest; 5% or Greater Mortgage Interest
Devon MickeyPAC 4183932767
Individual905% or Greater Indirect Ownership Interest; Corporate Officer
Michael MickeyPAC 7719013671
Individual105% or Greater Indirect Ownership Interest; Corporate Officer

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Mahoning Operating LLC Mahoning Valley Convalescent Home, Inc. 114 residents		Other disclo…	3.59	Ovr★★★☆☆Stf★★★☆☆Ins★★★☆☆QM★★★☆☆	114

Mahoning Operating LLC
Mahoning Valley Convalescent Home, Inc.
Other disclosed role114 res3.59 HPRD
Overall 3Staffing Staff 3

Related CMS associates

Name match to Mahoning Valley Convalescent Home, Inc. in FEC filings. Similar names may appear—confirm on FEC.gov.