Waters of Gallatin LLC

Enrollment entity

Provider / enrollment organization Enrollment PAC 1557640554 Enrollment ID O20161115001787

Linked facilitiesFacilities

StatesStates

3 parties: 1 organizations · 2 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Robin Willmore	3274832571	Individual	W-2 Managing Employee	0
Gubin Enterprises Limited Partnership	0345542114	Organization	5% or Greater Direct Ownership Interest	50
Michael Blisko	3577476589	Individual	5% or Greater Direct Ownership Interest	50

Robin WillmorePAC 3274832571
Individual0W-2 Managing Employee
Gubin Enterprises Limited PartnershipPAC 0345542114
Organization505% or Greater Direct Ownership Interest
Michael BliskoPAC 3577476589
Individual505% or Greater Direct Ownership Interest

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
The Waters of Gallatin Waters of Gallatin LLC 97 residents		Other disclo…	3.14	Ovr★★☆☆☆Stf★☆☆☆☆Ins★★★☆☆QM★★★★☆	97

The Waters of Gallatin
Waters of Gallatin LLC
Other disclosed role97 res3.14 HPRD
Overall 2Staffing Staff 1

1 CMS ownership change record (showing 1)

Effective	Facility	Buyer	Seller	Side
09/01/2016	The Waters of Gallatin	Waters of Gallatin LLC	Ggnsc Gallatin Brandywood LLC	Buyer

09/01/2016
The Waters of Gallatin (Buyer)
Ggnsc Gallatin Brandywood LLC → Waters of Gallatin LLC

Related CMS associates

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