Mystere Living & Healthcare, Inc.

Enrollment entity

Provider / enrollment organization Enrollment PAC 9032298385 Enrollment ID O20080604000065

Linked facilitiesFacilities

StatesStates

5 parties: 1 organizations · 4 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Joya Living & Healthcare Inc	5890027692	Organization	Operational/Managerial Control	100
Denise Hoback	7719021575	Individual	Contracted Managing Employee; Corporate Officer; ADP of the SNF	5, 100
Scott Averill	1052387271	Individual	Contracted Managing Employee; 5% or Greater Direct Ownership Interest; Corporate Officer	100
Tara Lee	6204360290	Individual	W-2 Managing Employee	100
Jillian Mccoy	7517299316	Individual	W-2 Managing Employee	—

Joya Living & Healthcare IncPAC 5890027692
Organization100Operational/Managerial Control
Denise HobackPAC 7719021575
Individual5, 100Contracted Managing Employee; Corporate Officer
Scott AverillPAC 1052387271
Individual100Contracted Managing Employee; 5% or Greater Direct Ownership Interest
Tara LeePAC 6204360290
Individual100W-2 Managing Employee
Jillian MccoyPAC 7517299316
IndividualW-2 Managing Employee

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Wellsville Manor Mystere Living & Healthcare, Inc. 50 residents		Other disclo…	4.72	Ovr★★★☆☆Stf★★★★☆Ins★★★☆☆QM★★★☆☆	50

Wellsville Manor
Mystere Living & Healthcare, Inc.
Other disclosed role50 res4.72 HPRD
Overall 3Staffing Staff 4

Related CMS associates

Name match to Mystere Living & Healthcare, Inc. in FEC filings. Similar names may appear—confirm on FEC.gov.