#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.
Few agencies are based in Mission, TX itself, so this list ranks the top-rated licensed in-home care agencies serving Mission, TX and the surrounding towns, 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. Ask any agency to confirm it covers your address.
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.
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.
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We ranked the top seven in-home care agencies serving Mission, 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 51 licensed agencies serving Mission, 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 58 agencies on this list are based in 3 ZIP codes; the busiest are 78572 (47 agencies), 78574 (8 agencies) and 78573 (1 agency). If Mission has too few choices for your needs, the closest other cities we list are Palmview (14 agencies, about 3 miles away), Pharr (31 agencies, about 8 miles away) and Mcallen (80 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
Mission is a Hidalgo County city of about 86,000 on the Rio Grande, known as the home of the Ruby Red grapefruit and the Texas Citrus Fiesta. The median age is just 34, yet the city also has a large seasonal retiree presence, with roughly 30 RV parks inside city limits that fill with Winter Texans from November through March. Families here often look for companionship, meals, and transportation help so a parent can stay in a familiar neighborhood close to relatives.
14% of residents are 65 or older. Source: 2020 Census, city of Mission (via Wikipedia).
In Mission, families ask about care in Shary Heights Historic District, Oblate Park Historic District, Sharyland and Historic downtown Mission.
Agencies listed here also commonly serve nearby McAllen, Palmhurst, Palmview, Alton, Edinburg and Pharr. Confirm each agency's service area before you sign.
Care that fits the routines of home often means getting to the places that matter: La Lomita Chapel, National Butterfly Center, Shary Heights Historic District, Speer Memorial Library and Texas Citrus Exchange.
Summers in Mission are long and hot, so cooling, hydration, and keeping a parent out of afternoon heat are practical concerns, and the Rio Grande Valley sits in the Gulf hurricane region. Distances are manageable but most trips are by car, so transportation to appointments is a common need. Housing ranges from mid-century one-story ranch houses in Shary Heights to newer subdivisions and winter RV and park-model communities, which are mostly single level and friendly to walkers.
The state roster dated October 27, 2026 lists 58 agencies in Mission with an active Texas license. Agencies based in nearby towns may also serve Mission.
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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