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Top-rated in-home care agencies in every state, ranked on public reviews. Agencies can't pay to be listed higher.

The 9 Best In-Home Care Agencies in Houston, TX

The 9 top-ranked in-home care agencies serving Houston, 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. Encore Caregivers LLC ranks first with 4.9 stars from 146 reviews.

Updated November 2026 · Data: state license rosters, checked October 27, 2026 · How we list agencies

9 top-ranked agencies · by Care Close to Home Score
Partner · Paid placement
In-home caregiver helping an older woman put away groceries
Houston City Partner

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These are the top 9, ranked by the Care Close to Home Score. 739 other licensed agencies serve Houston, TX and are not listed. How we rank

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Cost of care in Texas

Median hourly rate$30
20 hrs / week$2,600/mo
40 hrs / week$5,200/mo

Non-medical in-home care. Source: CareScout 2025 Cost of Care Survey.

Paying for in-home care in Texas

Most families pay privately or use long-term care insurance, Medicaid waivers, VA benefits or local Area Agency on Aging programs.

Ways to pay

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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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Licensed in-home care in Houston, TX: how to compare agencies

We ranked the top nine in-home care agencies serving Houston, 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 739 licensed agencies serving Houston, 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 748 agencies on this list are based in 79 ZIP codes; the busiest are 77036 (105 agencies), 77074 (43 agencies) and 77077 (37 agencies). If Houston has too few choices for your needs, the closest other cities we list are Bellaire (5 agencies, about 5 miles away), Stafford (48 agencies, about 7 miles away) and Sugar Land (87 agencies, about 12 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

Aging at home in Houston

Houston is the largest city in Texas, with about 2.4 million residents, and around 12 percent are 65 or older. It has no formal zoning, and the result is a sprawling mix: the Houston Heights area, tower apartments near Uptown and the Texas Medical Center, and suburban subdivisions out toward the Beltway. Because the city is so big and so car-dependent, an older adult's world often shrinks to a few miles around home. Families usually look for caregivers who are already based in their part of the city.

12.4% of residents are 65 or older. Source: ACS 2024 1-year estimate for Houston city, via Census Reporter.

Neighborhoods and nearby towns

In Houston, families ask about care in Houston Heights, Montrose, Midtown, Uptown, Third Ward, Museum District, Memorial City and Energy Corridor.

Houston HeightsMontroseMidtownUptownThird WardMuseum DistrictMemorial CityEnergy Corridor

Agencies listed here also commonly serve nearby Galveston, Fort Bend County, Montgomery County and Brazoria County. Confirm each agency's service area before you sign.

Familiar places in Houston

Care that fits the routines of home often means getting to the places that matter: Texas Medical Center, Hermann Park, Museum of Fine Arts, Houston, Johnson Space Center, Allen's Landing and Houston Theater District.

Planning care in Houston

Houston is humid subtropical: about 106 days a year reach 90 degrees, summer mornings are often above 90 percent humidity, and about 50 inches of rain falls annually. Flooding and hurricane season are part of planning, as Tropical Storm Allison and Hurricane Harvey showed, so families often arrange backup power and an evacuation plan. Roughly 77 percent of commuters drive alone, so traffic on the freeways and loops can affect caregiver arrival times, especially across the Inner Loop.

Local resources

  • After a hospital stay. If a family member is discharged from Houston Methodist Hospital, Memorial Hermann-Texas Medical Center, Harris Health System Ben Taub Hospital and St. Luke's Health - Baylor St. Luke's Medical Center, ask the discharge planner about private-duty help at home, and choose the agency yourself from this list.

Free help for families in Houston

  • Area Agency on Aging: Harris County Area Agency on Aging (Houston Health Department), (832) 393-4301. Free advice on in-home services, meals, respite and programs that help pay, for anyone 60 or older and their families.
  • Medicaid help at home: STAR+PLUS (including the STAR+PLUS Home and Community Based Services program). Texas Medicaid managed care for adults 65+ and adults with disabilities; it covers personal assistance (in-home attendant) services, and the STAR+PLUS HCBS program adds services for people who would otherwise need a nursing facility.
  • Coming home from the hospital: if your family member is being discharged from Houston Methodist, Memorial Hermann Health System and Harris Health or another Houston hospital, ask the discharge planner to send the referral to an agency you choose from this list. You have the right to pick the agency.

Phone numbers and programs checked against official sources in October 2026. Call ahead, as hours and programs change.

Questions Houston families ask

How many licensed in-home care agencies are there in Houston?

The state roster dated October 27, 2026 lists 748 agencies in Houston with an active Texas license. Agencies based in nearby towns may also serve Houston.

How do I choose an in-home care agency in Houston?

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.

How are these agencies ranked?

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.

How do families pay for in-home care in Houston?

Most pay privately, by the hour. Long-term care insurance, Medicaid waivers and VA benefits can help with bathing help, meals, housekeeping or companionship.

What does "licensed" mean?

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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