| LCA CASE NUMBER | I-200-20219-754331 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-08-06 |
| DECISION DATE | 2020-08-13 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | LEAD NURSE |
| SOC CODE | 29-1141.04 |
| SOC TITLE | Clinical Nurse Specialists |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-09-20 |
| END DATE | 2023-09-19 |
| 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 | STAMFORD HEALTH MEDICAL GROUP, INC. |
| EMPLOYER ADDRESS1 | 1 OMEGA DRIVE |
| EMPLOYER ADDRESS2 | BUILDING 3, 2ND FLOOR |
| EMPLOYER CITY | STAMFORD |
| EMPLOYER STATE | CT |
| EMPLOYER POSTAL CODE | 06907 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12032767589 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | GOLDEN |
| EMPLOYER POC FIRST NAME | TRICIA |
| EMPLOYER POC JOB TITLE | HUMAN RESOURCES MANAGER |
| EMPLOYER POC ADDRESS1 | 1 OMEGA DRIVE |
| EMPLOYER POC ADDRESS2 | BUILDING 3, 2ND FLR |
| EMPLOYER POC CITY | STAMFORD |
| EMPLOYER POC STATE | CT |
| EMPLOYER POC POSTAL CODE | 06907 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12032767589 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | MANNING |
| AGENT ATTORNEY FIRST NAME | WILLIAM |
| AGENT ATTORNEY MIDDLE NAME | J |
| AGENT ATTORNEY ADDRESS1 | 44 SOUTH BROADWAY |
| AGENT ATTORNEY ADDRESS2 | 14TH FLOOR |
| AGENT ATTORNEY CITY | WHITE PLAINS |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10601 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19148726891.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | JACKSON LEWIS PC |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 126 MORGAN STREET ST. |
| LCA CASE WORKLOC1 CITY | STAMFORD |
| WORKSITE COUNTY | FAIRFIELD |
| LCA CASE WORKLOC1 STATE | CT |
| WORKSITE POSTAL CODE | 06905 |
| LCA CASE WAGE RATE FROM | 38.0 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 36.94 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| 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 |
| PREPARER LAST NAME | IYER |
| PREPARER FIRST NAME | SUNITA |
| PREPARER BUSINESS NAME | JACKSON LEWIS PC |
| PREPARER EMAIL | [email protected] |
