Healthcare Provider Details

I. General information

NPI: 1972473320
Provider Name (Legal Business Name): SEVENTH GRACE HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/10/2025
Last Update Date: 11/10/2025
Certification Date: 11/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8950 W SIERRA VISTA DR
GLENDALE AZ
85305-2034
US

IV. Provider business mailing address

8950 W SIERRA VISTA DR
GLENDALE AZ
85305-2034
US

V. Phone/Fax

Practice location:
  • Phone: 602-900-7628
  • Fax:
Mailing address:
  • Phone: 602-900-7628
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State

VIII. Authorized Official

Name: MR. VINCENT GABRIEL COVENA
Title or Position: PRESIDENT
Credential:
Phone: 602-900-7628