| LCA CASE NUMBER | I-200-21021-024910 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2021-01-21 |
| DECISION DATE | 2021-04-02 |
| ORIGINAL CERT DATE | 2021-01-28 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Family Nurse Practitioner |
| SOC CODE | 29-1171.00 |
| SOC TITLE | Nurse Practitioners |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-03-01 |
| END DATE | 2024-02-29 |
| 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 | MiRehab PC |
| EMPLOYER ADDRESS1 | 28592 Orchard lake Road |
| EMPLOYER ADDRESS2 | Suite 340 |
| EMPLOYER CITY | Farmington Hills |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 48334 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17342610558 |
| EMPLOYER PHONE EXT | 0 |
| NAICS CODE | 62161 |
| EMPLOYER POC LAST NAME | Khatri |
| EMPLOYER POC FIRST NAME | Hitesh |
| EMPLOYER POC MIDDLE NAME | Vasantkumar |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS 1 | 28592 Orchard Lake Road |
| EMPLOYER POC ADDRESS 2 | 340 |
| EMPLOYER POC CITY | Farmington Hills |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 48334 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17342610558 |
| EMPLOYER POC EMAIL | hr@mirehabpc.com |
| AGENT REPRESENTING EMPLOYER | False |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | Dispatched28592OrchardLakeRd#340Farmington |
| WORKSITE ADDRESS2 | Hills MI to Patient Residents in Detroit Metro Area |
| LCA CASE WORKLOC1 CITY | #19820 Detroit |
| WORKSITE COUNTY | WAYNE |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 48201 |
| LCA CASE WAGE RATE FROM | 90000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 89627 |
| 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 | True |
| H1B DEPENDENT | True |
| WILLFUL VIOLATOR | False |
| SUPPORT H1B | True |
| STATUTORY BASIS | Both $60,000 or higher in annual wage and Masters Degree or higher in related specialty |
| PUBLIC DISCLOSURE | Disclose Business |
