| LCA CASE NUMBER | I-200-22280-517030 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-10-07 |
| DECISION DATE | 2022-10-17 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Registered Nurse |
| SOC CODE | 29-1141.00 |
| SOC TITLE | Registered Nurses |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2022-10-14 |
| END DATE | 2025-10-13 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 1 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | NSH Valley of Hayward LLC |
| EMPLOYER ADDRESS1 | 640 N Vel R Phillips Ave |
| EMPLOYER ADDRESS2 | Suite 200 |
| EMPLOYER CITY | Milwaukee |
| EMPLOYER STATE | WI |
| EMPLOYER POSTAL CODE | 53202 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17156342202 |
| NAICS CODE | 623110 |
| EMPLOYER POC LAST NAME | Abernathy |
| EMPLOYER POC FIRST NAME | Jennifer |
| EMPLOYER POC JOB TITLE | Executive Director |
| EMPLOYER POC ADDRESS1 | 10775 Nyman Ave. |
| EMPLOYER POC CITY | Hayward |
| EMPLOYER POC STATE | WI |
| EMPLOYER POC POSTAL CODE | 54843 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17156342202 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Lacy |
| AGENT ATTORNEY FIRST NAME | Callie |
| AGENT ATTORNEY MIDDLE NAME | Kidder |
| AGENT ATTORNEY ADDRESS1 | 205 Doty St. |
| AGENT ATTORNEY ADDRESS2 | Ste. 201 |
| AGENT ATTORNEY CITY | Green Bay |
| AGENT ATTORNEY STATE | WI |
| AGENT ATTORNEY POSTAL CODE | 54301 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18448330831 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Renning, Lewis & Lacy |
| STATE OF HIGHEST COURT | WI |
| NAME OF HIGHEST STATE COURT | Wisconsin Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 10775 Nyman Ave. |
| LCA CASE WORKLOC1 CITY | Hayward |
| WORKSITE COUNTY | SAWYER |
| LCA CASE WORKLOC1 STATE | WI |
| WORKSITE POSTAL CODE | 54843 |
| LCA CASE WAGE RATE FROM | 37 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 31.13 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
