Revalidation record
Life Care Physician Services Llc — revalidation due 2026-11-30
on listNPI 1770807919 · Non-DME Part B · HI · Enrollment ID O20110419000092
From the CMS revalidation file for October 2026, published 2026-10-01 · check this NPI in CMS’s own lookup ↗ ·
This NPI has 4 enrollments. They stay separate. The detail below is the one to look at first.
| Enrollment | State | Form | Due |
|---|---|---|---|
| O20110419000092 | HI | 855B | 2026-11-30 |
| O20100928000490 | FL | 855B | TBD |
| O20111122000206 | CO | 855B | TBD |
| O20120424000585 | WY | 855B | TBD |
- Revalidation due
- 2026-11-30
- Form to file
- 855B
Clinics, group practices, and other organizational suppliers file CMS-855B.
This NPI's revalidation is due 2026-11-30 — in 32 days.
CMS listed this date in the public file. It can still move next month.
What changed, month by month
| Snapshot | Due date on the CMS file |
|---|---|
| 2026-10 | 2026-11-30 |
Not an official CMS system. Verify before filing.
All HI revalidation dates for October 2026Where this date comes from