Top-rated in-home care agencies in every state, ranked on public reviews. Agencies can't pay to be listed higher.
34 licensed in-home care agencies serve Tyler, TX, each with an active Texas Home and Community Support Services Agency (Personal Assistance Services) license on the state's public roster. That is the pool for a city of about 103,700 people. Across Texas, in-home care runs about $30 an hour, or roughly $2,600 a month for 20 hours a week (CareScout 2025), so ask each agency for its own rate in writing. We rank a city once at least five of its agencies have 10 or more public reviews. Tyler is not there yet, so for now the order is alphabetical, not a verdict on quality.
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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1121 E Southeast Loop 323, Suite 218, Tyler, TX 75701
Licensed · Texas Home and Community Support Services Agency (Personal Assistance Services) license 021866, valid through August 2028 · state roster dated October 27, 2026
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619 Courtview, Tyler, TX 75703
Licensed · Texas Home and Community Support Services Agency (Personal Assistance Services) license 025349, valid through September 2029 · state roster dated October 27, 2026
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401 E Front St Ste 221C, Tyler, TX 75702
Licensed · Texas Home and Community Support Services Agency (Personal Assistance Services) license 008374, valid through March 2027 · 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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121 S. Broadway Avenue, Suite 426, Tyler, TX 75702
Licensed · Texas Home and Community Support Services Agency (Personal Assistance Services) license 020738, valid through May 2027 · state roster dated October 27, 2026
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1515 Rice Road, Tyler, TX 75703
Licensed · Texas Home and Community Support Services Agency (Personal Assistance Services) license 025164, valid through July 2029 · state roster dated October 27, 2026
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4660 Kinsey Dr., Tyler, TX 75703
Licensed · Texas Home and Community Support Services Agency (Personal Assistance Services) license 020788, valid through May 2027 · state roster dated October 27, 2026
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7942 Greenhill Drive, Tyler, TX 75703
Licensed · Texas Home and Community Support Services Agency (Personal Assistance Services) license 010346, valid through March 2027 · state roster dated October 27, 2026
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3613 Rock Creek Drive, Tyler, TX 75707
Licensed · Texas Home and Community Support Services Agency (Personal Assistance Services) license 014367, valid through September 2029 · state roster dated October 27, 2026
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110 N College Ave. Suite 1407, Tyler, TX 75702
Licensed · Texas Home and Community Support Services Agency (Personal Assistance Services) license 024422, valid through September 2028 · state roster dated October 27, 2026
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1820 Shiloh Road, Suite 1302, Tyler, TX 75703
Licensed · Texas Home and Community Support Services Agency (Personal Assistance Services) license 023047, valid through March 2027 · state roster dated October 27, 2026
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5849 Buffalo Gap Rd Suite E, Abilene, TX 79606
Licensed · Texas Home and Community Support Services Agency (Personal Assistance Services) license 015793, valid through October 2029 · state roster dated October 27, 2026
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900 Moorehill Dr., Tyler, TX 75701
Licensed · Texas Home and Community Support Services Agency (Personal Assistance Services) license 025026, valid through May 2029 · state roster dated October 27, 2026
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621 Shelley Park Plaza Ste P, Tyler, TX 75701
Licensed · Texas Home and Community Support Services Agency (Personal Assistance Services) license 020526, valid through February 2027 · state roster dated October 27, 2026
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3527 S Broadway Ave, Tyler, TX 75701
Licensed · Texas Home and Community Support Services Agency (Personal Assistance Services) license 024427, valid through September 2028 · state roster dated October 27, 2026
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100 E Ferguson Street Suite 600, Tyler, TX 75702
Licensed · Texas Home and Community Support Services Agency (Personal Assistance Services) license 011762, valid through November 2028 · state roster dated October 27, 2026
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215 Winchester Suite 105, Tyler, TX 75701
Licensed · Texas Home and Community Support Services Agency (Personal Assistance Services) license 008095, valid through December 2027 · state roster dated October 27, 2026
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921 Shiloh Road Suite B300, Tyler, TX 75703
Licensed · Texas Home and Community Support Services Agency (Personal Assistance Services) license 018433, valid through August 2029 · state roster dated October 27, 2026
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3600 W Pioneer Pkwy, Unit 19, Pantego, TX 76013
Licensed · Texas Home and Community Support Services Agency (Personal Assistance Services) license 011703, valid through November 2029 · state roster dated October 27, 2026
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2522 Oak Manor Way, Tyler, TX 75703
Licensed · Texas Home and Community Support Services Agency (Personal Assistance Services) license 012918, valid through January 2029 · state roster dated October 27, 2026
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3800 Paluxy Dr., Suite 582, Tyler, TX 75703
Licensed · Texas Home and Community Support Services Agency (Personal Assistance Services) license 007537, valid through February 2028 · 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.
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34 in-home care agencies serving Tyler, 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 34 agencies on this list are based in 5 ZIP codes; the busiest are 75701 (15 agencies), 75703 (9 agencies) and 75702 (5 agencies). If Tyler has too few choices for your needs, the closest other cities we list are Henderson (6 agencies, about 31 miles away), Athens (3 agencies, about 31 miles away) and Longview (13 agencies, about 37 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
Tyler is the Smith County seat and the medical and retail hub for much of East Texas, with about 112,000 residents and a metro area above 233,000. It is known as the Rose Capital, and its older residents often live in leafy neighborhoods like Charnwood and the Brick Streets district,. Families across East Texas often arrange in-home help here so a parent can stay in their own house instead of moving.
16.3% of residents are 65 or older. Source: Census QuickFacts, Tyler city (2020-era table; Wikipedia cites 17.7% in the 2020 census).
In Tyler, families ask about care in Brick Streets Historic District, Charnwood Residential Historic District and Downtown Tyler.
Agencies listed here also commonly serve nearby Whitehouse, Lindale, Bullard, New Chapel Hill, Chandler, Flint and Kilgore. Confirm each agency's service area before you sign.
Care that fits the routines of home often means getting to the places that matter: Tyler Municipal Rose Garden, Caldwell Zoo, Tyler State Park, Lake Tyler, Camp Ford Historic Park and University of Texas at Tyler.
Tyler has hot, humid summers, with about 91 days a year above 90 degrees, and spring brings severe storms, hail and occasional tornadoes. The February 2021 freeze reached minus 6, a reminder to plan for power and water outages. Tyler has about 46,000 homes, and most are single-unit detached houses, so driveways, yards and steps matter. Tyler Transit buses do not run Sundays, and Interstate 20, US 69 and Highway 64 make a car the usual way around.
The state roster dated October 27, 2026 lists 34 agencies in Tyler with an active Texas license. Agencies based in nearby towns may also serve Tyler.
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.
