| LCA CASE NUMBER | I-200-21160-382375 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-06-09 |
| DECISION DATE | 2021-06-16 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Psychiatrist |
| SOC CODE | 29-1066.00 |
| SOC TITLE | Psychiatrists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-01 |
| END DATE | 2024-06-30 |
| 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 | Southlake Community Mental Health Center, Inc. |
| TRADE NAME DBA | Regional Health Systems |
| EMPLOYER ADDRESS1 | 8555 Taft Street |
| EMPLOYER CITY | Merrillville |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 46410 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12195103888 |
| NAICS CODE | 621420 |
| EMPLOYER POC LAST NAME | Douglas |
| EMPLOYER POC FIRST NAME | Kobie |
| EMPLOYER POC JOB TITLE | Chief Medical Officer |
| EMPLOYER POC ADDRESS 1 | 8555 Taft Street |
| EMPLOYER POC CITY | Merrillville |
| EMPLOYER POC STATE | IN |
| EMPLOYER POC POSTAL CODE | 46410 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12195103888 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Rifai |
| AGENT ATTORNEY FIRST NAME | Dana |
| AGENT ATTORNEY ADDRESS1 | 9191 Broadway |
| AGENT ATTORNEY CITY | Merrillville |
| AGENT ATTORNEY STATE | IN |
| AGENT ATTORNEY POSTAL CODE | 46410 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12197691313 |
| AGENT ATTORNEY PHONE EXT | 147 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Burke Costanza & Carberry LLP |
| STATE OF HIGHEST COURT | IN |
|
| NAME OF HIGHEST STATE COURT | Supreme Court of Indiana |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 3903 Indianapolis Boulevard |
| LCA CASE WORKLOC1 CITY | East Chicago |
| WORKSITE COUNTY | LAKE |
| LCA CASE WORKLOC1 STATE | IN |
| WORKSITE POSTAL CODE | 46312 |
| LCA CASE WAGE RATE FROM | 237500 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000 |
| PW UNIT OF PAY | Year |
| 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 |
