| LCA CASE NUMBER | I-200-20309-898548 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-11-04 |
| DECISION DATE | 2020-11-12 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | DENTIST |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2020-11-09 |
| END DATE | 2022-11-11 |
| 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 | COMMUNITY HEALTH SERVICES |
| TRADE NAME DBA | CHS OF FREMONT |
| EMPLOYER ADDRESS1 | 2221 HAYES AVENUE |
| EMPLOYER CITY | FREMONT |
| EMPLOYER STATE | OH |
| EMPLOYER POSTAL CODE | 43420 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14193348943 |
| EMPLOYER PHONE EXT | 223 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | GARZA |
| EMPLOYER POC FIRST NAME | JESSICA |
| EMPLOYER POC JOB TITLE | DIRECTOR OF HUMAN RESOURCES |
| EMPLOYER POC ADDRESS 1 | 2221 Hayes Avenue |
| EMPLOYER POC CITY | FREMONT |
| EMPLOYER POC STATE | OH |
| EMPLOYER POC POSTAL CODE | 43420 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14193348943 |
| EMPLOYER POC PHONE EXT | 223 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | False |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 407 Independence Drive |
| LCA CASE WORKLOC1 CITY | Napoleon |
| WORKSITE COUNTY | HENRY |
| LCA CASE WORKLOC1 STATE | OH |
| WORKSITE POSTAL CODE | 43535 |
| LCA CASE WAGE RATE FROM | 100 |
| LCA CASE WAGE RATE TO | 105 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 100 |
| PW UNIT OF PAY | Hour |
| PW OES YEAR | 10/08/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Employment |
| PREPARER LAST NAME | Pearson |
| PREPARER FIRST NAME | Jeffrey |
| PREPARER BUSINESS NAME | Pearson Associates |
| PREPARER EMAIL | [email protected] |
