| LCA CASE NUMBER | I-200-21221-510817 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-08-09 |
| DECISION DATE | 2021-08-16 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Psychiatric Advanced Registered Nurse Practitioner |
| SOC CODE | 29-1171 |
| SOC TITLE | Nurse Practitioners |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-09-22 |
| END DATE | 2024-09-21 |
| 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 | BHC Fairfax Hospital, Inc. |
| TRADE NAME DBA | Fairfax Hospital |
| EMPLOYER ADDRESS1 | 10200 NE 132nd Street |
| EMPLOYER CITY | Kirkland |
| EMPLOYER STATE | WA |
| EMPLOYER POSTAL CODE | 98034 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14252841715 |
| NAICS CODE | 622210 |
| EMPLOYER POC LAST NAME | Schreiber |
| EMPLOYER POC FIRST NAME | Anne |
| EMPLOYER POC MIDDLE NAME | P. |
| EMPLOYER POC JOB TITLE | Human Resources Director |
| EMPLOYER POC ADDRESS1 | 10200 NE 132nd Street |
| EMPLOYER POC CITY | Kirkland |
| EMPLOYER POC STATE | WA |
| EMPLOYER POC POSTAL CODE | 98034 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14252841715 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Morrison |
| AGENT ATTORNEY FIRST NAME | James |
| AGENT ATTORNEY MIDDLE NAME | E. |
| AGENT ATTORNEY ADDRESS1 | 1001 Pennsylvania Avenue NW |
| AGENT ATTORNEY ADDRESS2 | Ste. 1300 South |
| AGENT ATTORNEY CITY | Washington |
| AGENT ATTORNEY STATE | DC |
| AGENT ATTORNEY POSTAL CODE | 20004 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12025728670 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Clark Hill PLC |
| STATE OF HIGHEST COURT | DC |
| NAME OF HIGHEST STATE COURT | Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 10200 NE 132nd Street |
| LCA CASE WORKLOC1 CITY | Kirkland |
| WORKSITE COUNTY | KING |
| LCA CASE WORKLOC1 STATE | WA |
| WORKSITE POSTAL CODE | 98034 |
| LCA CASE WAGE RATE FROM | 165000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 116376 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 3 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Morrison |
| PREPARER FIRST NAME | James |
| PREPARER MIDDLE INITIAL | E. |
| PREPARER BUSINESS NAME | Clark Hill PLC |
| PREPARER EMAIL | [email protected] |
