#1
Adorable Primary Home Care Incorporated
400 Paredes Line Rd. Suite A, Brownsville, TX 78521
★★★★★ 5.0 from 27 Google reviews · Licensed in Texas
Top-rated in-home care agencies in every state, ranked on public reviews. Agencies can't pay to be listed higher.
The 8 top-ranked in-home care agencies serving Brownsville, TX, ordered by the Care Close to Home Score. Each holds an active Texas Home and Community Support Services Agency (Personal Assistance Services) license and has at least 10 public reviews. Adorable Primary Home Care Incorporated ranks first with 5.0 stars from 27 reviews.
Updated November 2026 · Data: state license rosters, checked October 27, 2026 · How we list agencies

One agency per city and care type can hold this space, with photos, their story and a consultation form. It doesn't affect the rankings below.
#1
400 Paredes Line Rd. Suite A, Brownsville, TX 78521
★★★★★ 5.0 from 27 Google reviews · Licensed in Texas
#2
1284 Paredes Line Road, Suite C, Brownsville, TX 78521
★★★★★ 5.0 from 21 Google reviews · Licensed in Texas
#3
206 Paredes Line Rd. Suite A, Brownsville, TX 78521
★★★★★ 5.0 from 21 Google reviews · Licensed in Texas
A labeled ad between No. 3 and No. 4, open to any agency, ranked or not.
#4
2776 W Alton Gloor Blvd, Suite 7, Brownsville, TX 78520
★★★★½ 4.8 from 24 Google reviews · Licensed in Texas
#5
5 Cove Cir Ste A, Brownsville, TX 78521
★★★★½ 4.7 from 28 Google reviews · Licensed in Texas
#6
3465 E Ruben Torres Blvd Ste B, Brownsville, TX 78526
★★★★½ 4.4 from 17 Google reviews · Licensed in Texas
#7
805 West Price Road Ste B4, Brownsville, TX 78520
★★★★½ 4.4 from 13 Google reviews · Licensed in Texas
#8
3505 Boca Chica Blvd., Ste. 148, Brownsville, TX 78521
★★★★½ 4.2 from 10 Google reviews · Licensed in Texas
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Request free helpNon-medical in-home care. Source: CareScout 2025 Cost of Care Survey.
Most families pay privately or use long-term care insurance, Medicaid waivers, VA benefits or local Area Agency on Aging programs.
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Tell us the ZIP code and the care you need. Within one business day we'll pass your request to up to three in-home care agencies on this list that serve that area. Each one contacts you directly, so you can compare rates and caregivers before you choose. There is no cost to ask.
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We ranked the top eight in-home care agencies serving Brownsville, TX. Every one holds an active Texas Home and Community Support Services Agency (Personal Assistance Services) license in the Texas Health and Human Services Commission public roster dated October 27, 2026, and each has at least 10 public reviews. They are ordered by the Care Close to Home Score, which combines the rating (adjusted for how many reviews stand behind it), the number of reviews, and the license check. The other 101 licensed agencies serving Brownsville, TX are not listed here.
In-home care means non-medical help that lets an older adult keep living at home: bathing and dressing, meals, housekeeping, errands, medication reminders and company. It is usually paid for privately, with long-term care insurance, a Medicaid program or VA benefits, not by Medicare. Compare at least three agencies, and ask each whether caregivers are employees, how they are screened, who supervises them, the minimum hours and the hourly rate.
In Texas, the median rate for in-home care is $30 an hour, about $2,600 a month for 20 hours a week (CareScout 2025).
The 109 agencies on this list are based in 3 ZIP codes; the busiest are 78521 (41 agencies), 78520 (36 agencies) and 78526 (25 agencies). If Brownsville has too few choices for your needs, the closest other cities we list are San Benito (12 agencies, about 16 miles away), Harlingen (32 agencies, about 22 miles away) and La Feria (3 agencies, about 25 miles away).
Guides: In-home care: how to find and choose an agency · How to check an agency · What it costs by state · Ways to pay
Brownsville sits at the very southern tip of Texas, directly across the Rio Grande from Matamoros, and about 186,700 people called it home at the 2020 census. Roughly one resident in eight is 65 or older, and homeownership is common, with about 60 percent of occupied homes owner-occupied. Older adults who want to stay put often do so near the historic downtown, Market Square and the long-settled neighborhoods around old Fort Brown.
13.3% of residents are 65 or older. Source: 2020 Census, via Wikipedia.
In Brownsville, families ask about care in Downtown Brownsville, East Brownsville, Market Square area and Fort Brown area.
Agencies listed here also commonly serve nearby Port Isabel, Harlingen, Raymondville and McAllen. Confirm each agency's service area before you sign.
Care that fits the routines of home often means getting to the places that matter: Cameron County Courthouse (1914), Old Federal Courthouse, now City Hall, Market Square, Resaca de la Palma State Park, Palo Alto Battlefield National Historical Park and Laguna Atascosa National Wildlife Refuge.
Brownsville is hot and humid for much of the year, with around 141 afternoons a year reaching 90 degrees or higher, so air conditioning reliability and daytime scheduling matter for home visits. September brings the heaviest rain and the greatest tropical storm risk, so families should have a hurricane plan in place before the season. Freezes are rare, only once or twice a year. Brownsville Metro runs local buses and the city has a multimodal terminal, but most families rely on a car, and caregivers often travel between Brownsville, Port Isabel and Harlingen.
The state roster dated October 27, 2026 lists 109 agencies in Brownsville with an active Texas license. Agencies based in nearby towns may also serve Brownsville.
Call at least three. Ask whether caregivers are employees or independent contractors, how they are screened and supervised, the minimum hours and the hourly rate, and what happens when a caregiver is sick. Ask for a written care plan. Our guide to how to check an agency has the full list.
Each agency has an active state license and at least 10 public reviews. The Care Close to Home Score is out of 100: 60 points for the review rating, adjusted so a handful of reviews counts for less than a hundred; 20 for the number of reviews; 15 for the license check; and 5 for a verified phone and website. Agencies cannot pay to rank higher.
Most pay privately, by the hour. Long-term care insurance, Medicaid waivers and VA benefits can help with bathing help, meals, housekeeping or companionship.
The agency holds a license from the state health department. Licensing sets minimum standards and allows the state to inspect and act on complaints, but it does not rate how good the care is.
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