| LCA CASE NUMBER | I-200-20345-950552 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-12-10 |
| DECISION DATE | 2020-12-17 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Clinical Nurse Specialist |
| SOC CODE | 29-1141.00 |
| SOC TITLE | Registered Nurses |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2020-12-14 |
| END DATE | 2023-12-14 |
| 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 | Origins Home Health Care Inc |
| EMPLOYER ADDRESS1 | 137 1/2 S Knott Ave |
| EMPLOYER CITY | Anaheim |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 92804 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17143932020 |
| NAICS CODE | 621610 |
| EMPLOYER POC LAST NAME | Tanuyan |
| EMPLOYER POC FIRST NAME | Shirley |
| EMPLOYER POC MIDDLE NAME | V |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS 1 | 137 1/2 S Knott Ave |
| EMPLOYER POC CITY | Anaheim |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 92804 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17143932020 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Medina |
| AGENT ATTORNEY FIRST NAME | Charles |
| AGENT ATTORNEY ADDRESS1 | 2501 E Chapman Ave |
| AGENT ATTORNEY ADDRESS2 | Suite 285 |
| AGENT ATTORNEY CITY | Fullerton |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 92831 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17147866835 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Law Office of Charles Medina |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 137 1/2 S Knott Ave |
| LCA CASE WORKLOC1 CITY | Anaheim |
| WORKSITE COUNTY | ORANGE |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 92804 |
| LCA CASE WAGE RATE FROM | 37.34 |
| LCA CASE WAGE RATE TO | 38 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 37.34 |
| 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 | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Employment |
| PREPARER LAST NAME | Medina |
| PREPARER FIRST NAME | Charles |
| PREPARER BUSINESS NAME | Law Office of Charles Medina |
| PREPARER EMAIL | [email protected] |
