Healthcare Provider Details

I. General information

NPI: 1871288373
Provider Name (Legal Business Name): XO HEALTHCARE CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2023
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6160 WARREN PKWY STE 100
FRISCO TX
75034-9415
US

IV. Provider business mailing address

1606 HEADWAY CIR STE 9530
AUSTIN TX
78754-5123
US

V. Phone/Fax

Practice location:
  • Phone: 469-200-0650
  • Fax:
Mailing address:
  • Phone: 832-699-7950
  • Fax: 866-240-8655

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: STEVON GIPSON
Title or Position: CEO/ ADMINISTRATOR
Credential:
Phone: 832-699-7950