| LCA CASE NUMBER | I-200-21061-113321 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-03-02 |
| DECISION DATE | 2021-03-09 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician-Internal Medicine |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2021-06-14 |
| END DATE | 2024-06-13 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | StayWell Health Care, Inc. |
| EMPLOYER ADDRESS1 | 80 Phoenix Avenue |
| EMPLOYER ADDRESS2 | Suite 201 |
| EMPLOYER CITY | Waterbury |
| EMPLOYER STATE | CT |
| EMPLOYER POSTAL CODE | 6702 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12037568021 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Tripp |
| EMPLOYER POC FIRST NAME | Lynn |
| EMPLOYER POC JOB TITLE | Human Resource Director |
| EMPLOYER POC ADDRESS 1 | 80 Phoenix Avenue |
| EMPLOYER POC ADDRESS 2 | Suite 201 |
| EMPLOYER POC CITY | Waterbury |
| EMPLOYER POC STATE | CT |
| EMPLOYER POC POSTAL CODE | 06702 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12037568021 |
| EMPLOYER POC PHONE EXT | 3017 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Hopwood |
| AGENT ATTORNEY FIRST NAME | Lauren |
| AGENT ATTORNEY MIDDLE NAME | Meris |
| AGENT ATTORNEY ADDRESS1 | 195 Church Street |
| AGENT ATTORNEY ADDRESS2 | 18th Floor |
| AGENT ATTORNEY CITY | New Haven |
| AGENT ATTORNEY STATE | CT |
| AGENT ATTORNEY POSTAL CODE | 6510 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12037843104 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Carmody Torrance Sandak & Hennessey |
| STATE OF HIGHEST COURT | CT |
| NAME OF HIGHEST STATE COURT | Connecticut Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 80 Phoenix Avenue |
| LCA CASE WORKLOC1 CITY | Waterbury |
| WORKSITE COUNTY | WATERBURY CITY |
| LCA CASE WORKLOC1 STATE | CT |
| WORKSITE POSTAL CODE | 6702 |
| LCA CASE WAGE RATE FROM | 93.63 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 75.94 |
| 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 | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Buydos |
| PREPARER FIRST NAME | Jill |
| PREPARER MIDDLE INITIAL | G |
| PREPARER BUSINESS NAME | Carmody Torrance Sandak & Hennessey LLP |
| PREPARER EMAIL | [email protected] |
