Maz II Adult Family Home LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

MAZ II ADULT FAMILY HOME LLC

Practice address

6612 5TH Way SE
Lacey, WA 98503-7975

Phone

(360) 628-8920

Fax

(360) 359-7541

NPI assigned

Aug 11, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stephen Mvula

Title

Manager/Provider

Phone

(253) 433-1748

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1754870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754870400000",
    "number": "1306721089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6612 5TH WAY SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985037975",
            "telephone_number": "360-628-8920",
            "fax_number": "360-359-7541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6612 5TH WAY SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985037975",
            "telephone_number": "360-628-8920",
            "fax_number": "360-359-7541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAZ II ADULT FAMILY HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-11",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A",
        "authorized_official_last_name": "MVULA",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "MANAGER/PROVIDER",
        "authorized_official_telephone_number": "253-433-1748"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hugh Mau, RPH
• Matthew Cecil Maxfield, ARNP, PMHNP-BC
• Maxim Healthcare Services, Inc.
• Samantha May
• Maz Adult Family Home LLC
• Michelle McAllister
• Elmer McBride, CBT
• Leanna Marie McBroom, LMP
• Tina Renae McCaffrie, RDH
• Rylee McCallin

• Adult Care Home Facility in Lacey, WA
• Providers in Lacey, WA by specialty
• Adult Care Home Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.