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Revalidation record

Community Care Of West Virginia, Inc. — revalidation due 2026-10-31

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NPI 1104177674 · Part A · WV · Enrollment ID O20190605000924

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
O20190605000924WV855A2026-10-31
O20130226000624WV855B2026-12-31
Revalidation due
2026-10-31
Form to file
855A

Institutional providers file CMS-855A.

This NPI's revalidation is due 2026-10-31 — in 2 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
2026-102026-10-31

Not an official CMS system. Verify before filing.

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