Healthcare Provider Details

I. General information

NPI: 1104758713
Provider Name (Legal Business Name): PPV PROPERTY HOLDINGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2026
Last Update Date: 05/30/2026
Certification Date: 05/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

903 CARMEN DR
CAMARILLO CA
93010-4527
US

IV. Provider business mailing address

903 CARMEN DR
CAMARILLO CA
93010-4527
US

V. Phone/Fax

Practice location:
  • Phone: 805-586-4191
  • Fax:
Mailing address:
  • Phone: 805-586-4191
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. JANETTA CHERNEGA
Title or Position: SOLE MEMBER/CEO
Credential:
Phone: 818-426-0886