| LCA CASE NUMBER | I-200-21264-597759 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-09-21 |
| DECISION DATE | 2021-09-28 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physical Therapist |
| SOC CODE | 29-1123.00 |
| SOC TITLE | Physical Therapists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-01-07 |
| END DATE | 2025-01-06 |
| 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 | HOLLYWOOD HEALTH SYSTEM, INC. |
| TRADE NAME DBA | Hollywood Home Health Services |
| EMPLOYER ADDRESS1 | 4640 LANKERSHIM BLVD. |
| EMPLOYER ADDRESS2 | SUITE 100 |
| EMPLOYER CITY | NORTH HOLLYWOOD |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 91602 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18885228899 |
| NAICS CODE | 62134 |
| EMPLOYER POC LAST NAME | KOSHKARYAN |
| EMPLOYER POC FIRST NAME | POGOS |
| EMPLOYER POC JOB TITLE | ADMINISTRATOR |
| EMPLOYER POC ADDRESS1 | 4640 LANKERSHIM BLVD. |
| EMPLOYER POC ADDRESS2 | SUITE 100 |
| EMPLOYER POC CITY | NORTH HOLLYWOOD |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 91602 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18885228899 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Exner |
| AGENT ATTORNEY FIRST NAME | John |
| AGENT ATTORNEY MIDDLE NAME | E |
| AGENT ATTORNEY ADDRESS1 | 725 South Figueroa Street |
| AGENT ATTORNEY ADDRESS2 | Suite 2500 |
| AGENT ATTORNEY CITY | Los Angeles |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 90017 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12133373837 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Jackson Lewis P.C. |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | California Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 4640 Lankershim Blvd. |
| WORKSITE ADDRESS2 | Suite 100 |
| LCA CASE WORKLOC1 CITY | North Hollywood |
| WORKSITE COUNTY | LOS ANGELES |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 91602 |
| LCA CASE WAGE RATE FROM | 42.56 |
| LCA CASE WAGE RATE TO | 48 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 42.56 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Exner |
| PREPARER FIRST NAME | John |
| PREPARER MIDDLE INITIAL | E |
| PREPARER BUSINESS NAME | Jackson Lewis P.C. |
| PREPARER EMAIL | [email protected] |
