| LCA CASE NUMBER | I-200-21312-691226 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-11-07 |
| DECISION DATE | 2021-11-15 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Dental Therapist |
| SOC CODE | 31-9099.00 |
| SOC TITLE | Healthcare Support Workers, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-02-01 |
| END DATE | 2025-01-01 |
| 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 | Commonwealth Healthcare Corporation |
| EMPLOYER ADDRESS1 | 1 Lower Navy Hill Road, Navy Hill |
| EMPLOYER ADDRESS2 | P. O. Box 500409 CK |
| EMPLOYER CITY | Saipan |
| EMPLOYER STATE | MP |
| EMPLOYER POSTAL CODE | 96950 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16702368202 |
| EMPLOYER PHONE EXT | 3554 |
| NAICS CODE | 62211 |
| EMPLOYER POC LAST NAME | Muna |
| EMPLOYER POC FIRST NAME | Esther |
| EMPLOYER POC MIDDLE NAME | Lizama |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS1 | 1 Lower Navy Hill Road, Navy Hill |
| EMPLOYER POC ADDRESS2 | P. O. Box 500409 CK |
| EMPLOYER POC CITY | Saipan |
| EMPLOYER POC STATE | MP |
| EMPLOYER POC POSTAL CODE | 96950 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16702368202 |
| EMPLOYER POC PHONE EXT | 3554 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | False |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1 Lower Navy Hill Road, Navy Hill |
| WORKSITE ADDRESS2 | P. O. Box 500409 CK |
| LCA CASE WORKLOC1 CITY | Saipan |
| WORKSITE COUNTY | SAIPAN |
| LCA CASE WORKLOC1 STATE | MP |
| WORKSITE POSTAL CODE | 96950 |
| LCA CASE WAGE RATE FROM | 37467.04 |
| LCA CASE WAGE RATE TO | 38000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 18.01 |
| PW UNIT OF PAY | Hour |
| PW OTHER SOURCE | Survey |
| PW OTHER YEAR | 2021 |
| PW SURVEY PUBLISHER | CNMI Governor |
| PW SURVEY NAME | CNMI Governor's Wage Survey |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business and Employment |
| PREPARER LAST NAME | Tudela |
| PREPARER FIRST NAME | Vanessa |
| PREPARER MIDDLE INITIAL | DLG |
| PREPARER BUSINESS NAME | Commonwealth Healthcare Corporation |
| PREPARER EMAIL | [email protected] |
