01
Structure.
Every shift has a schedule. Every visit has documentation. Every caregiver has a supervising RN. EVV compliance, GPS clock-in/out, and point-of-care charting are enforced, not encouraged. Structure is what keeps members safe.
About Megacare
Twenty-two years.
One standard.
Megacare Home Health Services has operated in Greater Houston since December 2003. Same ownership. Same operating discipline. We are a Medicare-certified home health agency built for the cases other agencies will not accept — and we staff them with a clinical standard that is documented, inspected, and verifiable.
Built by a nurse
“The agency I wanted
to send my own family to.”
Ms. Elizabeth Okoye-Dike, RN, founded Megacare Home Health Services in 2003 after years of bedside nursing. The agency was built around a single operational standard — structured documentation, clinical rigor, and accountability from intake to discharge.
Twenty-two years later, ownership is unchanged. The founder still takes shifts when schedules run thin. Every plan of care still has an RN supervising. The standard hasn't moved.
- Founder
- Ms. Elizabeth Okoye-Dike, RN
- Established
- 2003 · Greater Houston
- Service Area
- Greater Houston Metropolitan Area
- NPI
- 1093732893
The Record
Twenty-two years,
one unbroken record.
- 200301
Founded in Houston
Ms. Elizabeth Okoye-Dike, RN, incorporates Megacare Home Health Services and opens the first office in Greater Houston with one operating standard: clinical rigor and documentation as the baseline, not the ceiling.
- 200502
Medicare certified
CMS certification #673193 issued 2005. Continuous federal certification maintained without lapse through every inspection cycle since.
- 201503
Pediatric PDN specialty deepens
Private duty nursing caseload grows to include tracheostomy, ventilator-dependent, and medically fragile pediatric members discharged from Greater Houston's major pediatric and adult hospital systems.
- 202204
BBB A+ accreditation
Better Business Bureau accredited with A+ rating. Zero unresolved complaints on file at accreditation. That record is intact today.
- 202405
Zero-violation state inspection
Texas HHS routine survey, August 2024. Zero deficiency findings across clinical documentation, EVV compliance, staff training, and plan-of-care reviews.
- 202606
22 years. Ownership unchanged.
Twenty-two years of continuous operation under the same founder. The agency still operates the way it was built to operate — from the bedside up.
How We Operate
Three things,
enforced every shift.
02
Precision.
Care plans are built around the member and the ordering physician, not generic templates. Medication schedules, assessment cadences, and therapy goals are tracked and reviewed. Every detail matters because the member feels every detail.
03
Accountability.
When we accept a case, we own it. Our founder still takes PDN shifts herself when the schedule runs thin. We do not pass problems to families — we solve them. Twenty-two years and zero violations is what accountability looks like in practice.
Have a complex case?
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Same intake nurse. Same operating standard. Twenty-two years on.