| LCA CASE NUMBER | I-200-18079-355363 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 3/20/18 |
| DECISION DATE | 3/26/18 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 9/1/18 |
| EMPLOYMENT END DATE | 9/1/21 |
| LCA CASE EMPLOYER NAME | INDEPENDENCE HOME HEALTHCARE, INC |
| EMPLOYER BUSINESS DBA | N/A |
| EMPLOYER ADDRESS | 135 W WALNUT ST |
| EMPLOYER CITY | GARDENA |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 90248 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | N/A |
| EMPLOYER PHONE | 3105231905 |
| EMPLOYER PHONE EXT | 0 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | AQUINO, JAYSON |
| AGENT ATTORNEY CITY | GARDEN GROVE |
| AGENT ATTORNEY STATE | CA |
| LCA CASE JOB TITLE | CLINICAL NURSE SPECIALIST |
| SOC CODE | 29-1141 |
| SOC NAME | REGISTERED NURSES |
| NAICS CODE | 621610 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMP | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 31.68 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | Level I |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2017 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 33.00 |
| LCA CASE WAGE RATE TO | 35.00 |
| LCA CASE WAGE RATE UNIT | Hour |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LABOR CON AGREE | Y |
| LCA CASE WORKLOC1 CITY | GARDENA |
| WORKSITE COUNTY | LOS ANGELES |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 90248 |
