=====================================================
General NPI Number Information
=====================================================
NPI Number | 1699687186
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | AFW HOME HEALTH INCORPORATION
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/19/2026
-----------------------------------------------------
Last Update Date | 09/19/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 500 S KRAEMER BLVD STE 100B
-----------------------------------------------------
City | BREA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92821-6763
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 562-293-6000
-----------------------------------------------------
Fax | 657-500-8383
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 500 S KRAEMER BLVD STE 100B
-----------------------------------------------------
City | BREA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92821-6763
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 714-528-8856
-----------------------------------------------------
Fax | 714-528-8857
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO/ADMINISTRATOR
-----------------------------------------------------
Name | MRS. AMPARO FERNANDEZ WANG
-----------------------------------------------------
Credential | LVN
-----------------------------------------------------
Telephone | 562-293-6000
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 163WH0200X
-----------------------------------------------------
Taxonomy Name | Home Health Registered Nurse
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------