| LCA CASE NUMBER | I-200-20076-410632 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-03-16 |
| DECISION DATE | 2020-03-23 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Registered Nurses Staff II/III - Medical Surgical Unit |
| SOC CODE | 29-1141.00 |
| SOC TITLE | Registered Nurses |
| FULL TIME POSITION | N |
| LCA CASE EMPLOYMENT START DATE | 2020-04-06 |
| END DATE | 2023-04-05 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Lower Valley Hospital Association |
| TRADE NAME DBA | Family Health West |
| EMPLOYER ADDRESS1 | 228 North Cherry Street |
| EMPLOYER CITY | Fruita |
| EMPLOYER STATE | CO |
| EMPLOYER POSTAL CODE | 81521 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19708582105 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Manspeaker |
| EMPLOYER POC FIRST NAME | Deborah |
| EMPLOYER POC JOB TITLE | HR Generalist |
| EMPLOYER POC ADDRESS1 | 228 North Cherry Street |
| EMPLOYER POC CITY | Fruita |
| EMPLOYER POC STATE | CO |
| EMPLOYER POC POSTAL CODE | 81521 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19708582781 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | GRODE |
| AGENT ATTORNEY FIRST NAME | Jonathan |
| AGENT ATTORNEY MIDDLE NAME | Agins |
| AGENT ATTORNEY ADDRESS1 | 1524 Delancey Street |
| AGENT ATTORNEY ADDRESS2 | 4th Floor |
| AGENT ATTORNEY CITY | Philadelphia |
| AGENT ATTORNEY STATE | PA |
| AGENT ATTORNEY POSTAL CODE | 19102 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12153958959.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Green and Spiegel, LLC |
| STATE OF HIGHEST COURT | PA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 300 Ottley Street |
| LCA CASE WORKLOC1 CITY | Fruita |
| WORKSITE COUNTY | MESA |
| LCA CASE WORKLOC1 STATE | CO |
| WORKSITE POSTAL CODE | 81521 |
| LCA CASE WAGE RATE FROM | 34.17 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 33.51 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| 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 | Grode |
| PREPARER FIRST NAME | Jonathan |
| PREPARER BUSINESS NAME | Green and Spiegel LLC |
| PREPARER EMAIL | [email protected] |
