Active NPI
Mohamed Nour
- Assisted Living Facility
- Tucson, AZ
National Provider Identifier
1942072426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- AL12794H
- Practice address
- 4734 E Edison St
Tucson, AZ 85712-2721 - Phone
- (520) 312-9436
- NPI assigned
- Oct 26, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | AL12794H | AZ | Primary |
Addresses
Primary practice location
4734 E Edison St
Tucson, AZ 85712-2721
Mailing address
4734 E Edison St
Tucson, AZ 85712-2721
Phone (520) 312-9436
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 205088 | Other | AZ | DES ARIZONA AHCCCS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AL12794H | AZ | MD | Assisted Living Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742169600000",
"number": "1942072426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4734 E EDISON ST",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857122721",
"telephone_number": "520-312-9436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4734 E EDISON ST",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857122721",
"telephone_number": "520-312-9436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOUR",
"first_name": "MOHAMED",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-10-26",
"last_updated": "2025-03-17",
"certification_date": "2025-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "AZ",
"license": "AL12794H",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DES ARIZONA AHCCCS",
"identifier": "205088",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.