#1
Universal Provider Service
612 W Nolana Ste 570 B, Mcallen, TX 78504
★★★★½ 4.9 from 106 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 7 top-ranked in-home care agencies serving Mcallen, 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. Universal Provider Service ranks first with 4.9 stars from 106 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
612 W Nolana Ste 570 B, Mcallen, TX 78504
★★★★½ 4.9 from 106 Google reviews · Licensed in Texas
#2
405 N Main Street Suite 1, Mcallen, TX 78501
★★★★★ 5.0 from 57 Google reviews · Licensed in Texas
#3
615A Gale Street, Laredo, TX 78041
★★★★½ 4.7 from 146 Caring.com reviews · Licensed in Texas
A labeled ad between No. 3 and No. 4, open to any agency, ranked or not.
#4
1333 E Jasmine Ave Ste 105, Mcallen, TX 78501
★★★★★ 5.0 from 30 Google reviews · Licensed in Texas
#5
5500 N 29th St, Mcallen, TX 78504
★★★★½ 4.8 from 45 Google reviews · Licensed in Texas
#6
2208 Primrose Ave, Ste. G, Mcallen, TX 78504
★★★★★ 5.0 from 14 Google reviews · Licensed in Texas
#7
900 E Redbud Avenue Suite E, Mcallen, TX 78504
★★★★½ 4.6 from 25 Google reviews · Licensed in Texas
Tell us the ZIP code and the care you need. We pass your request to up to three agencies that serve your area. Free, no obligation.
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 seven in-home care agencies serving Mcallen, 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 82 licensed agencies serving Mcallen, 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 89 agencies on this list are based in 4 ZIP codes; the busiest are 78501 (39 agencies), 78504 (37 agencies) and 78503 (3 agencies). If Mcallen has too few choices for your needs, the closest other cities we list are Edinburg (56 agencies, about 3 miles away), Pharr (31 agencies, about 8 miles away) and Mission (56 agencies, about 9 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
McAllen is the largest city in Hidalgo County, home to about 150,600 people and a lively border economy. Close to 14 percent of residents are 65 or older, one of the higher shares in this group of cities, and more than one in five households is a single person. Older residents are found around Downtown, the Uptown area and the neighborhoods near Quinta Mazatlan and the Nature Center. Neighboring Pharr, Edinburg and Mission are all close by, so relatives are often a short drive away.
14.3% of residents are 65 or older. Source: 2020 Census, via Wikipedia.
In McAllen, families ask about care in Downtown McAllen, De Palmas Historic District, 17th Street Entertainment District, McAllen Arts District and Uptown McAllen.
Agencies listed here also commonly serve nearby Edinburg, Pharr, Mission, Palmhurst, Alton and Hidalgo. Confirm each agency's service area before you sign.
Care that fits the routines of home often means getting to the places that matter: Quinta Mazatlan, McAllen Nature Center, International Museum of Art & Science, Cine El Rey Theatre, McAllen Performing Arts Center and Veteran's War Memorial of Texas.
McAllen has long, very hot summers where heat indices often pass 110 degrees, with brief warm winters and about 22 inches of rain mostly between May and October. The February 2021 freeze left the area without power, heat and water for about a week, so families here tend to value a winter back-up plan. Metro McAllen runs 12 fixed routes plus paratransit, with a central station downtown. Most trips are by car, though, and the Rio Grande Valley towns run together, so caregivers move easily from McAllen to Pharr and Edinburg.
The state roster dated October 27, 2026 lists 89 agencies in Mcallen with an active Texas license. Agencies based in nearby towns may also serve Mcallen.
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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