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.
The Record
Earned over two decades.
Verifiable on paper.
Every claim on this page is traceable to a license, a CMS certification, a state survey report, or a BBB file. Ask us for the numbers — we will send them.
Years in operation
Founded December 2003
Violations
Aug 2024 state inspection
MCO credentialings
Texas Medicaid managed care
Founded
Houston, Texas
The Origin
Founded from
the bedside.
Ms. Elizabeth Okoye-Dike founded Megacare Home Health Services on December 11, 2003, with a clear objective: build an agency where clinical rigor and operational discipline are non-negotiable. Not a tagline. The actual operating standard.
From a single Houston office, Megacare earned Medicare certification on April 7, 2005, and has maintained continuous federal and state compliance ever since. The agency now delivers skilled nursing, private duty nursing for high-acuity cases, personal attendant services, rehabilitation therapy, home infusion, and medical social work to adult and pediatric members across Greater Houston.
When hospitals need a home health agency that can manage tracheostomy care, ventilator-dependent members, and other complex discharges, they send those cases to us. We receive referrals from Greater Houston’s major hospital systems, pediatric subspecialty clinics, and home infusion specialty agencies.
Our most recent state inspection, on August 1, 2024, returned zero deficiency findings. When staffing is thin, our founder still works 12-hour bedside nursing shifts herself. That is the kind of agency this is.
At the Bedside
Elizabeth.
Still takes PDN shifts when the schedule needs her. That is not a story. It is a staffing protocol.
Milestones
Twenty-two years,
on the record.
2003
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.
2005
Medicare certified
CMS certification #673193 issued 2005. Continuous federal certification maintained without lapse through every inspection cycle since.
2015
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.
2022
BBB A+ accreditation
Better Business Bureau accredited with A+ rating. Zero unresolved complaints on file at accreditation. That record is intact today.
2024
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.
2026
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.
— Ms. Elizabeth Okoye-Dike, Founder & Principal
I still take bedside shifts. That is not a story — it is a staffing protocol. If I cannot confidently put my own license behind a shift, we will not send someone else to work it.
Paraphrased from internal clinical briefings; used with permission.
Values
Three principles.
Applied every shift.
Not marketing copy. The actual framework behind how we staff, document, and supervise.
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.
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.
The Ethos
We do not scale by cutting corners —
we scale by never cutting them in the first place.
Ms. Elizabeth Okoye-Dike, RN · Founder · Since 2003
Leadership
Founded with intent.
Led with care.
Portrait in progress. Named headshot coming soon.
Founder & Principal
Ms. Elizabeth Okoye-Dike
Ms. Elizabeth Okoye-Dike founded Megacare Home Health Services in December 2003 and still runs it with the same hands-on discipline. A registered nurse by training, she personally works 12-hour bedside shifts for high-acuity PDN cases when staffing requires it.
Under her direction, the agency has maintained continuous Medicare compliance since 2005, earned BBB accreditation with an A+ rating, and received zero violations on its most recent state inspection.
She does not manage from a distance. She manages from the bedside.
Serving Greater Houston
Coverage ends where
staffing quality begins.
We serve the Greater Houston metropolitan area — exclusively. We do not overextend geographically because staffing quality matters more than coverage area. If we cannot guarantee the caregiver, we will not accept the case.