NPIMap

Organization Active NPI

The Waters of Cheatham LLC

  • Skilled Nursing Facility
  • Ashland City, TN
National Provider Identifier
1801349352
Registry record updated Aug 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
THE WATERS OF CHEATHAM LLC
Practice address
2501 River Rd
Ashland City, TN 37015-5402
Phone
(615) 792-4948
Fax
(615) 746-4685
NPI assigned
Aug 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Moishe Gubin
Title
Member
Phone
(708) 449-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2501 River Rd
Ashland City, TN 37015-5402

Mailing address

2501 River Rd
Ashland City, TN 37015-5402
Phone (615) 792-4948

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170103000608 TN Part A Provider - Skilled Nursing Facility 0345521480 Practice locations: Ashland City, TN

Skilled nursing facility certification: CCN 445318

Legal name
THE WATERS OF CHEATHAM, LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 1, 1993
Last certification
Apr 27, 2022
Beds
80
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Enrollment address
2501 River Rd
Ashland City, TN 37015-5402
Nursing home name
THE WATERS OF CHEATHAM, LLC
Affiliated entity
INFINITY HEALTHCARE CONSULTING

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Waters of Cheatham, LLCCCN 445318
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Nov 1, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8049.2 residents per day on average
Chain
Infinity Healthcare Consulting69 facilities in the chain
Penalties (3 years)
2Fines totaling $6,350

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D1015107Waters of Cheatham LLC, the2501 River Road, Ashland City, TN 37015Certificate of waiverJul 23, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Gubin Enterprises Limited Partnership Organization, South Bend, IN 5% Or Greater Direct Ownership Interest Aug 1, 2016 40%
A&F Realty LLC Organization, South Bend, IN LLC 5% Or Greater Direct Ownership Interest Aug 1, 2016 20%
Michael Blisko Individual 5% Or Greater Direct Ownership Interest Aug 1, 2016 40%
Benjamin Anderson Individual W-2 Managing EmployeeAdministrator Nov 3, 2021

Facilities with the same owner 31

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 31

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470096000000",
    "number": "1801349352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 RIVER RD",
            "city": "ASHLAND CITY",
            "state": "TN",
            "postal_code": "370155402",
            "telephone_number": "615-792-4948",
            "fax_number": "615-746-4685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 RIVER RD",
            "city": "ASHLAND CITY",
            "state": "TN",
            "postal_code": "370155402",
            "telephone_number": "615-792-4948",
            "fax_number": "615-746-4685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WATERS OF CHEATHAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-02",
        "last_updated": "2016-08-02",
        "status": "A",
        "authorized_official_last_name": "GUBIN",
        "authorized_official_first_name": "MOISHE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "708-449-1900"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland City, TN

Sources for this page

Verify at the official NPI Registry.