
01· Core Program
Private Duty Nursing (PDN)
Extended one-on-one nursing for high-acuity members: tracheostomy care, ventilator management, and medically fragile pediatric cases.
Our Services
Eight clinical disciplines under one agency. Tracheostomy, ventilator-dependent, and medically fragile pediatric cases are not our exception — they are the reason Houston hospitals send us the complex discharges. Below is the full spectrum of what we deliver, and how.

Core Programs
Private duty nursing and personal attendant services are the primary programs we run under Texas Medicaid managed care. Skilled nursing visits complete the clinical foundation. Every case is supervised by a registered nurse — every shift verified by EVV.

01· Core Program
Extended one-on-one nursing for high-acuity members: tracheostomy care, ventilator management, and medically fragile pediatric cases.

02· Core Program
RN and LVN visits for assessments, medication management, wound care, and care plan oversight.

03· Core Program
Reliable attendants providing daily living assistance under RN supervision with full EVV compliance.
Pediatric PDN is our deepest speciality. If you are placing a medically complex child, see the pediatric PDN intake flow →

The Specialty
Trach, vent, TPN, seizure protocols. The cases that demand a clinical standard, not a checkbox.

From a Referring Hospital
They do not turn down trach kids. That alone is the difference. Every discharge planner in this building has a list of agencies — Megacare is at the top when the case is complex.
— Greater Houston Discharge Planner
Placeholder paraphrase of verbal feedback; named attribution and signed media release being gathered.
Rehabilitation Therapy
Licensed therapists delivering physician-ordered rehabilitation at home. Coordinated with the member’s physician. Documented every visit. Reviewed and supervised by our clinical team. No reinventing the wheel each visit.

01
Licensed therapists restoring mobility, strength, and independence through individualized home rehabilitation.

02
Helping members regain daily living skills and adapt their home environment for safety.

03
Addressing speech, language, swallowing, and cognitive-communication challenges for all ages.
Specialized Services
Home infusion and medical social work round out the agency for members whose clinical or coordination needs extend past the nursing bedside.

01· Specialized
Our specially trained nurses provide IV therapy and infusion services in the home, including antibiotic therapy, hydration, pain management, and nutrition support. We coordinate with home infusion specialty agencies and referring hospitals to ensure safe administration with careful monitoring throughout each session.

02· Specialized
Our licensed medical social workers help members and families navigate the practical challenges that accompany illness and recovery. We connect you with community resources, assist with care transitions from hospital to home, and help coordinate Medicaid benefits and managed care authorizations.
Insurance Accepted
Credentialed with Medicaid managed care organizations across Texas plus Medicare. If your plan is not listed, call us — credentialing work may already be in flight.
Have a Complex Case?
Tell us about the member. If we can staff the acuity safely, we will walk you through next steps on the first call.