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In-home care

Assisting Hands Northeast San Antonio

In-home care in Bulverde, Texas

Checked November 1, 2026

Provider details
Address32685 US 281 STE 180
CityBulverde
StateTexas
ZIP code78163
CountyComal
Phone(210) 861-1023
Websitehttps://assistinghands.com/135/texas/nesanantonio/
License number023668
License typeHome and Community Support Services Agency (HCSSA), Personal Assistance Services category — Texas Health and Human Services Commission license (26 TAC Chapter 558)
Licensing statusLICENSED FACILITY
Licensed sinceDecember 3, 2024
LicenseeWilch, Inc
Care typesin-home care, personal assistance services, non-medical home care
Services offeredPersonal care — help with activities of daily living (bathing, dressing, grooming, eating, toileting), Help with the physical functions required for independent living at home, Respite services, Alzheimer's Care, Transitional Care, Post-Surgical Care, Dementia Care, Parkinson's Care, Veterans Care, Hospice Support, Stroke Care
CMS quality noteLicensed by the Texas Health and Human Services Commission.

Assisting Hands Northeast San Antonio is a non-medical home care agency in Bulverde, TX 78163, in Comal County. It is licensed by the Texas Health and Human Services Commission as a Home and Community Support Services Agency (HCSSA) in the Personal Assistance Services category (HHSC license 023668, status LICENSED FACILITY, first licensed 2024-12-03; the current license expires 2027-12-03). Personal Assistance Services agencies provide routine ongoing care in a person's home that helps them with the activities of daily living and the physical functions required for independent living, including respite services — non-medical support, not skilled nursing or therapy. Agency office: 32685 US 281 STE 180, Bulverde, TX 78163. Phone: (210) 861-1023. The license is held by the legal entity Wilch, Inc. The administrator named in the HHSC directory is Nancy Deboy.

More about this provider

Assisting Hands Home Care — Northeast San Antonio is led by Nancy Wilch MSN, RN, a 30+ year nurse and clinical instructor, and Troy Wilch, a Navy Hospital Corpsman and Marine; the veteran-owned agency provides non-medical in-home care services for seniors and adults with disabilities in San Antonio, TX.
Services and programsAlzheimer's Care; Transitional Care; Post-Surgical Care; Dementia Care; Parkinson's Care; Veterans Care; Hospice Support; Stroke Care; non-medical in-home care services including assistance with daily living activities, meal preparation, and light housekeeping
Who it servesSeniors and adults with disabilities; people of all ages, in many situations; anyone, in any situation that makes living independently more difficult
AccreditationVeteran Owned Business and Long Term Care Insurance Advocates / Certified Advocate badges published on the page
Visiting and contact details(210) 405-4059; 32685 US-281 #180, Bulverde, TX 78163; Hours: Mon–Sun 00:00-23:59; Serving San Antonio and Surrounding Areas
Websitehttps://assistinghands.com/135/texas/nesanantonio/

Who pays for in-home care?

What this care costs, and who pays — Medicare, Medicaid, or the family — is covered in these guides:

In-home care guide · Paying for care

Other in-home care in Comal County

Common questions about Assisting Hands Northeast San Antonio

Where is Assisting Hands Northeast San Antonio located?

Assisting Hands Northeast San Antonio is at 32685 US 281 STE 180, Bulverde, Texas 78163.

What care and services does Assisting Hands Northeast San Antonio offer?

Assisting Hands Northeast San Antonio offers in-home care, personal assistance services, non-medical home care, Personal care — help with activities of daily living (bathing, dressing, grooming, eating, toileting), Help with the physical functions required for independent living at home, Respite services, Alzheimer's Care, Transitional Care.

How do I contact Assisting Hands Northeast San Antonio?

Call Assisting Hands Northeast San Antonio at (210) 861-1023.

How much does home care cost?

The national median cost of a home care aide is $35 an hour (CareScout Cost of Care Survey, 2025). At 44 hours a week, that is about $80,080 a year. Costs in Texas can be higher or lower. See our guide to home care costs and who pays for the full picture.

Does Medicare pay for home care?

No. Medicare does not pay for non-medical home care on its own. That is help with bathing, dressing, cooking, cleaning, and rides. Medicare pays for home health care, which is medical care at home ordered by a doctor. Some Medicare Advantage plans add a small home care benefit, but the rules and hours vary by plan.

What is the difference between home care and home health?

Home care is non-medical help at home, like bathing, cooking, cleaning, and rides. You hire home care on your own. Home health is medical care at home. Nurses and therapists give it, and a doctor orders it. Medicare can pay for home health when you meet its rules. It does not pay for home care on its own.

Who else pays for home care besides Medicare?

Medicaid pays for home care for people who qualify, often through waiver programs. The VA pays for homemaker and home health aide care for many veterans. Long-term care insurance can pay for part of the cost. Most other care is paid out of pocket.

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