Prime Service, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PRIME SERVICE, INC.

Doing business as

Golden Grove Senior Living

Practice address

5795 Saunders Ave
Loomis, CA 95650-7905

Phone

(916) 765-2952

NPI assigned

Mar 3, 2025

Organization subpart

Yes

Parent organization

PRIME SERVICE INC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Raisa Oselsky

Title

Administrator

Phone

(916) 765-2952

Specialties & licenses 1

Addresses

Other names 1

• Golden Grove Senior Living Doing business as

Tax ID family

Prime Service Inc2 organizations share this tax ID, including this one

Part of

Prime Service Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Prime Service, Inc.

  • Assisted Living Facility
  • Citrus Heights, CA
  • NPI 1871394510
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Prime Service, Inc.

  • Assisted Living Facility
  • Citrus Heights, CA
  • NPI 1871394510
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1740960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742428800000",
    "number": "1225836604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5795 SAUNDERS AVE",
            "city": "LOOMIS",
            "state": "CA",
            "postal_code": "956507905",
            "telephone_number": "916-765-2952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5795 SAUNDERS AVE",
            "city": "LOOMIS",
            "state": "CA",
            "postal_code": "956507905",
            "telephone_number": "916-765-2952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME SERVICE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRIME SERVICE INC.",
        "enumeration_date": "2025-03-03",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A",
        "authorized_official_last_name": "OSELSKY",
        "authorized_official_first_name": "RAISA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "916-765-2952"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Grove Senior Living",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Golden Grove Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Placer Surgery Group Inc.
• Jenine Lee Poitras
• Jennifer Lynn Prado
• Precision Medical Products
• Precision Medical Products
• Raleys
• Pamela Rapp, RDN
• Michael Ratliff
• Laura Lynn Richardson
• Donald Richmond, RAS

• Assisted Living Facility in Loomis, CA
• Providers in Loomis, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.

Verify at the official NPI Registry.