| LCA CASE NUMBER | I-200-20225-764102 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-08-12 |
| DECISION DATE | 2020-08-19 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Clinical Supervisor |
| SOC CODE | 11-9111.00 |
| SOC TITLE | Medical and Health Services Managers |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2021-02-01 |
| END DATE | 2024-01-31 |
| 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 | OMNI Health Services, Inc. |
| EMPLOYER ADDRESS1 | 160 Bethlehem Pike |
| EMPLOYER ADDRESS2 | SUITE 120 |
| EMPLOYER CITY | Colmar |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 18915 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | PENNSYLVANIA |
| EMPLOYER PHONE | 12159972000 |
| NAICS CODE | 621420 |
| EMPLOYER POC LAST NAME | Patel |
| EMPLOYER POC FIRST NAME | Pankti |
| EMPLOYER POC JOB TITLE | Human Resources Manager |
| EMPLOYER POC ADDRESS1 | 160 Bethlehem Pike |
| EMPLOYER POC ADDRESS2 | Suite 120 |
| EMPLOYER POC CITY | Colmar |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 18915 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12159972282 |
| EMPLOYER POC EMAIL | ppatel@omhsi1.com |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Hirsch |
| AGENT ATTORNEY FIRST NAME | Matthew |
| AGENT ATTORNEY MIDDLE NAME | I |
| AGENT ATTORNEY ADDRESS1 | 150 Strafford Avenue, Suite 110 |
| AGENT ATTORNEY CITY | Wayne |
| AGENT ATTORNEY STATE | PA |
| AGENT ATTORNEY POSTAL CODE | 19087 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16109646100.0 |
| AGENT ATTORNEY EMAIL ADDRESS | matt@hirschlaw1.com |
| LAWFIRM NAME BUSINESS NAME | Law Office of Matthew I Hirsch |
| STATE OF HIGHEST COURT | PA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 6930-34 Market Street |
| WORKSITE ADDRESS2 | Floor 2 |
| LCA CASE WORKLOC1 CITY | Upper Darby |
| WORKSITE COUNTY | DELAWARE |
| LCA CASE WORKLOC1 STATE | PA |
| WORKSITE POSTAL CODE | 19082 |
| LCA CASE WAGE RATE FROM | 87000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 69784.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business and Employment |
