Our Story

About At Peace

A Texas home care agency founded by a licensed professional counselor — built on the belief that genuine care requires genuine understanding.

Zia Skepple, M.B.A., M.Ed., LPC — Founder, At Peace In Home Care Zia Skepple — Founder of At Peace In Home Care
From the Founder

Why I built At Peace.

✦ Zia Skepple, M.B.A., M.Ed., LPC — Founder & Director

I started At Peace because I've spent my career as a licensed professional counselor watching families navigate some of the hardest moments of their lives — dementia, Alzheimer's, autism, behavioral health challenges, traumatic brain injury, and more — and I saw firsthand what happens when the people providing care don't truly understand the conditions they're walking into.

Tasks aren't enough. Families don't just need someone to show up. They need someone who understands what their loved one is experiencing — who can respond with patience when a dementia patient is confused at 3 a.m., who knows why a person with autism needs consistency and what happens when that consistency breaks down.

Every caregiver I place at At Peace has been trained by me — not just in tasks, but in how these conditions actually feel and how to respond with real competence and compassion. My clinical credential isn't a marketing line. It is the foundation of everything we do differently.

When you call At Peace, you reach me directly. Your family gets one consistent, clinician-trained caregiver who knows your loved one by name. That is my promise — and it is the At Peace difference.

6+
Service Types
TX
HCSSA Licensed
8+
Cities Served
LPC
Founded by a Clinician
Our Caregivers

Compassionate care, every day.

Our Core Values

What we stand for.

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Compassion

We approach every client interaction with empathy and genuine care. Compassion is not a policy — it is the foundation of everything we do.

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Dignity

Every person in our care is treated as a full, valued human being. Privacy, preferences, and dignity are upheld in every task, every day.

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Clinical Excellence

Our founder's LPC credential sets the standard. Clinician-trained caregivers bring depth of understanding no task list can replicate.

🤝

Trust

Families invite us into their homes. We earn that trust through consistent, transparent, reliable service — and never take it for granted.

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Consistency

One caregiver, one relationship, one familiar face. Your loved one deserves stability — and we deliver it.

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Accountability

Texas HCSSA licensed, HIPAA compliant, EVV verified. We hold ourselves to the highest standards — so families always know their loved one is safe.

Credentials & Compliance

Our licenses and standards.

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Texas HCSSA Licensed

Licensed by Texas HHSC as a Home and Community Support Services Agency under Personal Assistance Services.

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HIPAA Compliant

Designated Privacy Officer, Notice of Privacy Practices, and compliant data handling across all systems and staff.

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EVV — AxisCare

Electronic Visit Verification through AxisCare. Every visit documented — families always know care happened.

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NPI Registered

NPI: 1982416996. Texas HHSC provider. TMHP profile established for future Medicaid contracting.

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Insured & Bonded

General liability insurance and bonding — protecting clients, families, and caregivers at every visit.

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Full Policy Library

ANE reporting, emergency preparedness, grievance process, incident reporting, client rights — all active.

Ready to Talk?

Meet Zia. Start the conversation.

Free in-home consultation — no obligation. You'll speak with the owner directly.