| LCA CASE NUMBER | I-200-23090-891758 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-03-30 |
| DECISION DATE | 2023-04-06 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | SNF Specialist - Registered Nurse Manager |
| SOC CODE | 29-1141.00 |
| SOC TITLE | Registered Nurses |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-04-05 |
| END DATE | 2026-04-04 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Grant Park SNF LLC |
| TRADE NAME DBA | Deanwood Rehabilitation and Wellness Center, Inc |
| EMPLOYER ADDRESS1 | 5000 Nannie Helen Burroughs Avenue |
| EMPLOYER CITY | Washington |
| EMPLOYER STATE | DC |
| EMPLOYER POSTAL CODE | 20019 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12023997504 |
| NAICS CODE | 623110 |
| EMPLOYER POC LAST NAME | Raphael |
| EMPLOYER POC FIRST NAME | Joyce |
| EMPLOYER POC JOB TITLE | Nursing Home Administrator |
| EMPLOYER POC ADDRESS1 | 5000 Nannie Helen Burroughs Avenue |
| EMPLOYER POC CITY | Washington |
| EMPLOYER POC STATE | DC |
| EMPLOYER POC POSTAL CODE | 20019 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12023997504 |
| EMPLOYER POC EMAIL | Jraphael@deanwoodrwc.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | NAGAHORI |
| AGENT ATTORNEY FIRST NAME | RANDI |
| AGENT ATTORNEY ADDRESS1 | 235 MONTGOMERY STREET |
| AGENT ATTORNEY ADDRESS2 | SUITE 730 |
| AGENT ATTORNEY CITY | SAN FRANCISCO |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 94104 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14158053900 |
| AGENT ATTORNEY EMAIL ADDRESS | LCA@GOLAWCORP.COM |
| LAWFIRM NAME BUSINESS NAME | GOESCHL LAW CORPORATION |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 5000 Nannie Helen Burroughs Avenue |
| LCA CASE WORKLOC1 CITY | Washington |
| WORKSITE COUNTY | DISTRICT OF COLUMBIA |
| LCA CASE WORKLOC1 STATE | DC |
| WORKSITE POSTAL CODE | 20019 |
| LCA CASE WAGE RATE FROM | 120244.8 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 101005 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
