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Revalidation record

Affinity Hospital Llc — revalidation due 2027-01-31

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NPI 1023061405 · Part A · AL · Enrollment ID O20051201000959

From the CMS revalidation file for October 2026, published 2026-10-01 · check this NPI in CMS’s own lookup ↗ ·

This NPI has 2 enrollments. They stay separate. The detail below is the one to look at first.

EnrollmentStateFormDue
O20051201000959AL855A2027-01-31
O20210219000678AL855BTBD
Revalidation due
2027-01-31
Form to file
855A

Institutional providers file CMS-855A.

This NPI's revalidation is due 2027-01-31 — in 93 days.

CMS listed this date in the public file. It can still move next month.

What changed, month by month

SnapshotDue date on the CMS file
2026-102027-01-31

Not an official CMS system. Verify before filing.

All AL revalidation dates for October 2026Where this date comes from