| LCA CASE NUMBER | I-200-20015-255818 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-01-15 |
| DECISION DATE | 2020-01-22 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Inpatient Associate Medical Director and Staff Psychiatrist |
| SOC CODE | 29-1066.00 |
| SOC TITLE | Psychiatrists |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-01-31 |
| END DATE | 2023-01-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | PINE REST CHRISTIAN HEALTH MENTAL SERVICES |
| EMPLOYER ADDRESS1 | 300 68TH STREET SE |
| EMPLOYER ADDRESS2 | P.O. Box 165 |
| EMPLOYER CITY | Grand Rapids |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 49501 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16169569614 |
| EMPLOYER PHONE EXT | 6961.0 |
| NAICS CODE | 623220 |
| EMPLOYER POC LAST NAME | NYKAMP |
| EMPLOYER POC FIRST NAME | ROBERT |
| EMPLOYER POC MIDDLE NAME | LEE |
| EMPLOYER POC JOB TITLE | VICE PRESIDENT, CHIEF OPERATING OFFICER |
| EMPLOYER POC ADDRESS1 | 300 68TH STREET SE |
| EMPLOYER POC ADDRESS2 | P.O. BOX 165 |
| EMPLOYER POC CITY | GRAND RAPIDS |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 49501 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16164555000 |
| EMPLOYER POC PHONE EXT | 2962.0 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Battle |
| AGENT ATTORNEY FIRST NAME | Kevin |
| AGENT ATTORNEY MIDDLE NAME | D |
| AGENT ATTORNEY ADDRESS1 | 45 Ottawa Avenue S.W. |
| AGENT ATTORNEY ADDRESS2 | Ste 1100 |
| AGENT ATTORNEY CITY | Grand Rapids |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 49503 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16168311718.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | MILLER JOHNSON |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 300 68th Street SE |
| LCA CASE WORKLOC1 CITY | Grand Rapids |
| WORKSITE COUNTY | KENT |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 49548 |
| LCA CASE WAGE RATE FROM | 290000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000.0 |
| PW UNIT OF PAY | Year |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Battle |
| PREPARER FIRST NAME | Kevin |
| PREPARER MIDDLE INITIAL | D |
| PREPARER BUSINESS NAME | Miller Johnson |
| PREPARER EMAIL | [email protected] |
