| LCA CASE NUMBER | I-200-20268-842976 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-09-23 |
| DECISION DATE | 2020-09-30 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physical Therapist |
| SOC CODE | 29-1123.00 |
| SOC TITLE | Physical Therapists |
| FULL TIME POSITION | N |
| LCA CASE EMPLOYMENT START DATE | 2020-12-10 |
| END DATE | 2023-12-09 |
| 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 | Clearwater Operations, LLC |
| TRADE NAME DBA | Life Care Center of Lewiston |
| EMPLOYER ADDRESS1 | 325 Warner Drive |
| EMPLOYER CITY | Lewiston |
| EMPLOYER STATE | ID |
| EMPLOYER POSTAL CODE | 83501 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12087988500 |
| NAICS CODE | 62311 |
| EMPLOYER POC LAST NAME | Elliott |
| EMPLOYER POC FIRST NAME | Stefanie |
| EMPLOYER POC JOB TITLE | Director of Rehabilitation |
| EMPLOYER POC ADDRESS1 | 325 Warner Drive |
| EMPLOYER POC CITY | Lewiston |
| EMPLOYER POC STATE | ID |
| EMPLOYER POC POSTAL CODE | 83501 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12087988500 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Hom |
| AGENT ATTORNEY FIRST NAME | Harold |
| AGENT ATTORNEY MIDDLE NAME | Lee |
| AGENT ATTORNEY ADDRESS1 | 30200 Detroit Road |
| AGENT ATTORNEY ADDRESS2 | Suite D |
| AGENT ATTORNEY CITY | Westlake |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 44145 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14402500400.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Harold L. Hom Co., LPA |
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | Life Care Center of Lewiston |
| WORKSITE ADDRESS2 | 325 Warner Drive |
| LCA CASE WORKLOC1 CITY | Lewiston |
| WORKSITE COUNTY | NEZ PERCE |
| LCA CASE WORKLOC1 STATE | ID |
| WORKSITE POSTAL CODE | 83501 |
| LCA CASE WAGE RATE FROM | 41.0 |
| LCA CASE WAGE RATE TO | 48.0 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 40.8 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | III |
| 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 | Hom |
| PREPARER FIRST NAME | Harold |
| PREPARER MIDDLE INITIAL | L |
| PREPARER BUSINESS NAME | Harold L. Hom Co., LPA |
| PREPARER EMAIL | [email protected] |
