The Waters of Cheatham, LLC

Enrollment entity

Provider / enrollment organization Enrollment PAC 0345521480 Enrollment ID O20170103000608

Linked facilitiesFacilities

StatesStates

4 parties: 2 organizations · 2 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Benjamin Anderson	5597129023	Individual	W-2 Managing Employee	0
Gubin Enterprises Limited Partnership	0345542114	Organization	5% or Greater Direct Ownership Interest	40
Michael Blisko	3577476589	Individual	5% or Greater Direct Ownership Interest	40
A&F Realty LLC	1951334226	Organization	5% or Greater Direct Ownership Interest	20

Benjamin AndersonPAC 5597129023
Individual0W-2 Managing Employee
Gubin Enterprises Limited PartnershipPAC 0345542114
Organization405% or Greater Direct Ownership Interest
Michael BliskoPAC 3577476589
Individual405% or Greater Direct Ownership Interest
A&F Realty LLCPAC 1951334226
Organization205% or Greater Direct Ownership Interest

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
The Waters of Cheatham, LLC 49 residents		Other disclo…	3.09	Ovr★★☆☆☆Stf★☆☆☆☆Ins★★☆☆☆QM★★★★★	49

The Waters of Cheatham, LLC
Other disclosed role49 res3.09 HPRD
Overall 2Staffing Staff 1

1 CMS ownership change record (showing 1)

Effective	Facility	Buyer	Seller	Side
08/01/2016	The Waters of Cheatham, LLC	The Waters of Cheatham, LLC	Christian Care Center of Cheatham County Inc	Buyer

08/01/2016
The Waters of Cheatham, LLC (Buyer)
Christian Care Center of Cheatham County Inc → The Waters of Cheatham, LLC

Related CMS associates

Name match to The Waters of Cheatham, LLC in FEC filings. Similar names may appear—confirm on FEC.gov.