Healthcare Provider Details

I. General information

NPI: 1356288468
Provider Name (Legal Business Name): DTLA HOME HEALTH AGENCY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

355 S GRAND AVE STE 2450 OFFICE 47
LOS ANGELES CA
90071-9500
US

IV. Provider business mailing address

355 S GRAND AVE STE 2450
LOS ANGELES CA
90071-9500
US

V. Phone/Fax

Practice location:
  • Phone: 213-289-1435
  • Fax: 213-769-0140
Mailing address:
  • Phone: 213-289-1435
  • Fax: 213-769-0140

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JAMES E WHITE JR.
Title or Position: CFO
Credential: WHITE JR
Phone: 213-289-1435