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1st Care Home Health Agency
230 Thunderbird Dr. Ste K, El Paso, TX 79912
Licensed · Texas Home and Community Support Services Agency (Personal Assistance Services) license 018208, valid through April 2029 · state roster dated October 27, 2026
Top-rated in-home care agencies in every state, ranked on public reviews. Agencies can't pay to be listed higher.
154 licensed in-home care agencies serve El Paso, TX, each with an active Texas Home and Community Support Services Agency (Personal Assistance Services) license on the state's public roster. Each listing shows the license number and the date we matched it to the roster, so you can confirm it with the state yourself. For planning, the Texas figure is about $30 an hour (CareScout 2025), around $2,600 a month at 20 hours a week; agencies in El Paso set their own rates. Agencies here are in alphabetical order because too few have the 10 or more public reviews we need before we score a city.
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.
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230 Thunderbird Dr. Ste K, El Paso, TX 79912
Licensed · Texas Home and Community Support Services Agency (Personal Assistance Services) license 018208, valid through April 2029 · state roster dated October 27, 2026
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10662 Vista Del Sol Dr, El Paso, TX 79935
Licensed · Texas Home and Community Support Services Agency (Personal Assistance Services) license 012899, valid through October 2029 · state roster dated October 27, 2026
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747 E San Antonio Ave Ste 102, El Paso, TX 79901
Licensed · Texas Home and Community Support Services Agency (Personal Assistance Services) license 018657, valid through March 2028 · state roster dated October 27, 2026
A labeled ad between No. 3 and No. 4, open to any agency, ranked or not.
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3661 Trina Pl, El Paso, TX 79936
Licensed · Texas Home and Community Support Services Agency (Personal Assistance Services) license 015837, valid through October 2029 · state roster dated October 27, 2026
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1115 Montana Ave., El Paso, TX 79902
Licensed · Texas Home and Community Support Services Agency (Personal Assistance Services) license 015717, valid through August 2029 · state roster dated October 27, 2026
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4215 Fred Wilson Ave, El Paso, TX 79904
Licensed · Texas Home and Community Support Services Agency (Personal Assistance Services) license 016836, valid through June 2027 · state roster dated October 27, 2026
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1200 Golden Key Circle, Suite 435, El Paso, TX 79925
Licensed · Texas Home and Community Support Services Agency (Personal Assistance Services) license 020509, valid through February 2029 · state roster dated October 27, 2026
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1200 Golden Key Circle, Suite 435, El Paso, TX 79925
Licensed · Texas Home and Community Support Services Agency (Personal Assistance Services) license 020361, valid through December 2028 · state roster dated October 27, 2026
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9861 Dyer St Ste 2, El Paso, TX 79924
Licensed · Texas Home and Community Support Services Agency (Personal Assistance Services) license 016967, valid through August 2028 · state roster dated October 27, 2026
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408 E Highway 90, Castroville, TX 78009
Licensed · Texas Home and Community Support Services Agency (Personal Assistance Services) license 012460, valid through November 2028 · state roster dated October 27, 2026
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4171 N Mesa St. Ste B202, El Paso, TX 79902
Licensed · Texas Home and Community Support Services Agency (Personal Assistance Services) license 014946, valid through June 2027 · state roster dated October 27, 2026
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12001 Dragon Crest Dr, El Paso, TX 79936
Licensed · Texas Home and Community Support Services Agency (Personal Assistance Services) license 020398, valid through December 2028 · state roster dated October 27, 2026
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1904 E Griffin Parkway, Mission, TX 78572
Licensed · Texas Home and Community Support Services Agency (Personal Assistance Services) license 011712, valid through November 2028 · state roster dated October 27, 2026
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2150 Trawood Dr. B-260, El Paso, TX 79935
Licensed · Texas Home and Community Support Services Agency (Personal Assistance Services) license 016454, valid through September 2027 · state roster dated October 27, 2026
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2050 Paseo Del Prado Dr, El Paso, TX 79936
Licensed · Texas Home and Community Support Services Agency (Personal Assistance Services) license 025210, valid through July 2029 · state roster dated October 27, 2026
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10921 Pellicano Dr Suite 115, El Paso, TX 79935
Licensed · Texas Home and Community Support Services Agency (Personal Assistance Services) license 017666, valid through August 2027 · state roster dated October 27, 2026
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1512 E. Yandell, Suite A2, El Paso, TX 79902
Licensed · Texas Home and Community Support Services Agency (Personal Assistance Services) license 025018, valid through May 2029 · state roster dated October 27, 2026
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9861 Dyer St. Ste. 2, El Paso, TX 79924
Licensed · Texas Home and Community Support Services Agency (Personal Assistance Services) license 019285, valid through April 2027 · state roster dated October 27, 2026
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4625 Alabama St Ste A, El Paso, TX 79930
Licensed · Texas Home and Community Support Services Agency (Personal Assistance Services) license 015041, valid through August 2028 · state roster dated October 27, 2026
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1155 Westmoreland Drive Suite 115, El Paso, TX 79925
Licensed · Texas Home and Community Support Services Agency (Personal Assistance Services) license 012831, valid through June 2029 · state roster dated October 27, 2026
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.
Ways to payFree, no obligation
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.
We never sell your details, and you can stop at any time.
154 in-home care agencies serving El Paso, TX hold an active Texas Home and Community Support Services Agency (Personal Assistance Services) license, as listed in the Texas Health and Human Services Commission public roster dated October 27, 2026. They are shown in alphabetical order. We do not rank them, because no fair public quality data exists for in-home care agencies and we will not invent a score.
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 154 agencies on this list are based in 18 ZIP codes; the busiest are 79902 (33 agencies), 79925 (19 agencies) and 79936 (17 agencies). If El Paso has too few choices for your needs, the closest other cities we list are Odessa (10 agencies, about 239 miles away), Midland (9 agencies, about 253 miles away) and Lubbock (17 agencies, about 293 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
El Paso sits at the far western tip of Texas, hemmed in by the Franklin Mountains and the Rio Grande, with Ciudad Juarez just across the border. It is a bilingual city where many older residents have spent decades in the same neighborhood, from historic Sunset Heights and Segundo Barrio to the Lower Valley around Ysleta and the newer East Side. Family ties are strong, and multigenerational households are common. Caregivers who speak Spanish and understand local customs often make the difference for seniors who want to remain at home.
13.9% of residents are 65 or older. Source: Census QuickFacts for El Paso city; vintage not labeled in the cached page.
In El Paso, families ask about care in Sunset Heights, Segundo Barrio, Kern Place, Coronado Hills, Northeast El Paso, Mission Valley and Ysleta and East El Paso.
Agencies listed here also commonly serve nearby Socorro, Horizon City, San Elizario, Anthony, Canutillo and Sunland Park. Confirm each agency's service area before you sign.
Care that fits the routines of home often means getting to the places that matter: Franklin Mountains State Park, Ysleta Mission, Socorro Mission, UTEP and the Sun Bowl, Southwest University Park and Wells Fargo Plaza.
El Paso has a hot desert climate with only about nine inches of rain a year, most of it in monsoon storms from June through September. Summer heat can top 100 degrees, so cool, well-shaded homes and air conditioning matter. Spring brings dust storms, and winters are dry and cool with rare snow. Interstate 10 runs through the city, and the East Side and Mission Valley are far from the Westside, so distances between family and a parent can be long. Housing ranges from older adobe and brick homes to 1950s and 1960s ranch houses in the Northeast.
Phone numbers and programs checked against official sources in October 2026. Call ahead, as hours and programs change.
The state roster dated October 27, 2026 lists 154 agencies in El Paso with an active Texas license. Agencies based in nearby towns may also serve El Paso.
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.
Medicare rates home health agencies and hospices, so we rank those. There are no public quality ratings for non-medical in-home care, so these agencies are listed A-Z with their state license, and we do not rank or score them.
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.
The agency checklist, a plain-English guide to paying for care and a care cost planner, sent to your inbox.