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Revalidation record

Total Life Inc — revalidation due 2026-08-31

past duemay be stale

NPI 1053909267 · Non-DME Part B · FL · Enrollment ID O20210225003311

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

This NPI has 40 enrollments. They stay separate. The detail below is the one to look at first.

EnrollmentStateFormDue
O20210225003311FL855B2026-08-31
O20220504001403KY855BTBD
O20220801000886MI855BTBD
O20221101003467AR855BTBD
O20221103001969AZ855BTBD
O20221107002291MO855BTBD
O20221114000527ME855BTBD
O20221114001585CO855BTBD
O20221115000851AK855BTBD
O20221119000207NE855BTBD
O20221202002981MD855BTBD
O20221205000058WI855BTBD
O20221206000014DE855BTBD
O20221206000883NV855BTBD
O20221206003475NC855BTBD
O20221212000720NH855BTBD
O20221227000699CT855BTBD
O20230106000074VA855BTBD
O20230125001611MS855BTBD
O20230125002642NM855BTBD
O20230125002998LA855BTBD
O20230125003168OK855BTBD
O20230210001049RI855BTBD
O20230222000028TX855BTBD
O20230504000188UT855BTBD
O20230511001104IN855BTBD
O20230511001686IA855BTBD
O20230511003168GA855BTBD
O20230609000933AL855BTBD
O20230825002479MT855BTBD
O20230907000311TN855BTBD
O20230908000348WA855BTBD
O20231003003431KS855BTBD
O20231107003245SC855BTBD
O20231108002025OR855BTBD
O20231120001048NJ855BTBD
O20231207000492WV855BTBD
O20240209003233PA855BTBD
O20240213001834MN855BTBD
O20250611000231VT855BTBD
Revalidation due
2026-08-31
Form to file
855B

Clinics, group practices, and other organizational suppliers file CMS-855B.

CMS published a due date of 2026-08-31 (59 days ago). We cannot tell from the file whether you completed this.

CMS may deactivate billing privileges when a full and accurate application isn't received within 90 days (42 CFR 424.540(a)(3)). Claims are denied while deactivated. Reactivation is effective the day CMS receives your application — it is not retroactive.

What changed, month by month

SnapshotDue date on the CMS file
2026-102026-08-31

Not an official CMS system. Verify before filing.

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