| LCA CASE NUMBER | I-200-20198-720015 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-07-16 |
| DECISION DATE | 2020-07-23 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | CDS Supervisor |
| SOC CODE | 11-9111.00 |
| SOC TITLE | Medical and Health Services Managers |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-12-11 |
| END DATE | 2023-12-10 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | Prime Healthcare Services - St. Mary's Passaic |
| TRADE NAME DBA | St. Mary's General Hospital |
| EMPLOYER ADDRESS1 | 350 Boulevard |
| EMPLOYER CITY | Passaic |
| EMPLOYER STATE | NJ |
| EMPLOYER POSTAL CODE | 07055 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19733654300 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Banks |
| EMPLOYER POC FIRST NAME | Chester |
| EMPLOYER POC JOB TITLE | Human Resources Director |
| EMPLOYER POC ADDRESS1 | 350 Boulevard |
| EMPLOYER POC CITY | Passaic |
| EMPLOYER POC STATE | NJ |
| EMPLOYER POC POSTAL CODE | 07055 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19733654300 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Desposito |
| AGENT ATTORNEY FIRST NAME | Andrew |
| AGENT ATTORNEY MIDDLE NAME | John |
| AGENT ATTORNEY ADDRESS1 | 3480 E. Guasti Rd. |
| AGENT ATTORNEY ADDRESS2 | 2nd Fl |
| AGENT ATTORNEY CITY | Ontario |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 91761 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19092354302.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Prime Healthcare Management, Inc. |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court of California |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 350 Boulevard |
| LCA CASE WORKLOC1 CITY | Passaic |
| WORKSITE COUNTY | PASSAIC |
| LCA CASE WORKLOC1 STATE | NJ |
| WORKSITE POSTAL CODE | 07055 |
| LCA CASE WAGE RATE FROM | 45.8 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 42.92 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
