| LCA CASE NUMBER | I-200-21316-702385 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-11-12 |
| DECISION DATE | 2021-11-19 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Staff RN II/III - Medical Surgical Unit |
| SOC CODE | 29-1141.00 |
| SOC TITLE | Registered Nurses |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-12-03 |
| END DATE | 2024-12-02 |
| 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 | Lower Valley Hospital Association |
| TRADE NAME DBA | Family Health West |
| EMPLOYER ADDRESS1 | 228 N Cherry St |
| EMPLOYER CITY | Fruita |
| EMPLOYER STATE | CO |
| EMPLOYER POSTAL CODE | 81521 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19708583900 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Barnes |
| EMPLOYER POC FIRST NAME | Kimber |
| EMPLOYER POC JOB TITLE | Director of Human Resources |
| EMPLOYER POC ADDRESS1 | 228 N Cherry St |
| EMPLOYER POC CITY | Fruita |
| EMPLOYER POC STATE | CO |
| EMPLOYER POC POSTAL CODE | 81521 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19708582169 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | GRODE |
| AGENT ATTORNEY FIRST NAME | Jonathan |
| AGENT ATTORNEY MIDDLE NAME | Agins |
| AGENT ATTORNEY ADDRESS1 | 1524 Delancey Street |
| AGENT ATTORNEY ADDRESS2 | 4th Floor |
| AGENT ATTORNEY CITY | Philadelphia |
| AGENT ATTORNEY STATE | PA |
| AGENT ATTORNEY POSTAL CODE | 19102 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12153958959 |
| AGENT ATTORNEY PHONE EXT | 0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Green and Spiegel, LLC |
| STATE OF HIGHEST COURT | PA |
| NAME OF HIGHEST STATE COURT | Pennsylvania |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 300 W Ottley St |
| LCA CASE WORKLOC1 CITY | Fruita |
| WORKSITE COUNTY | MESA |
| LCA CASE WORKLOC1 STATE | CO |
| WORKSITE POSTAL CODE | 81521 |
| LCA CASE WAGE RATE FROM | 40.2 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 38.69 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Grode |
| PREPARER FIRST NAME | Jonathan |
| PREPARER MIDDLE INITIAL | A |
| PREPARER BUSINESS NAME | Green and Spiegel LLC |
| PREPARER EMAIL | [email protected] |
