| LCA CASE NUMBER | I-200-20352-965714 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-12-16 |
| DECISION DATE | 2020-12-23 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | NURSE SUPERVISOR |
| SOC CODE | 11-9111.00 |
| SOC TITLE | Medical and Health Services Managers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-01-04 |
| END DATE | 2024-01-03 |
| 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 | RN Express Staffing Registry, LLC |
| TRADE NAME DBA | Not Applicable |
| EMPLOYER ADDRESS1 | 71 West 23rd Street |
| EMPLOYER ADDRESS2 | Suite 1622 |
| EMPLOYER CITY | New York |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 10010 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12126757318 |
| NAICS CODE | 621610 |
| EMPLOYER POC LAST NAME | ALEJANDRINO |
| EMPLOYER POC FIRST NAME | ALEXANDER |
| EMPLOYER POC MIDDLE NAME | CABIEDES |
| EMPLOYER POC JOB TITLE | Assistant Vice-President for Operations |
| EMPLOYER POC ADDRESS 1 | 71 West 23rd Street |
| EMPLOYER POC ADDRESS 2 | Suite 1622 |
| EMPLOYER POC CITY | New York |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 10010 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12126757318 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Reyes |
| AGENT ATTORNEY FIRST NAME | Jesus Martin |
| AGENT ATTORNEY MIDDLE NAME | Lomboy |
| AGENT ATTORNEY ADDRESS1 | 71 West 23rd Street |
| AGENT ATTORNEY ADDRESS2 | Suite 1619 |
| AGENT ATTORNEY CITY | New York |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10010 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12125242740 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Law Firm of Jesus Martin L. Reyes, PC |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Supreme Court of the State of New York |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | ArchCare Senior Life at San Vicente de Paúl |
| WORKSITE ADDRESS1 | 900 Intervale Avenue |
| LCA CASE WORKLOC1 CITY | Bronx |
| WORKSITE COUNTY | BRONX |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 10459 |
| LCA CASE WAGE RATE FROM | 45 |
| 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 | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER BUSINESS NAME | Not Applicable |
