| LCA CASE NUMBER | I-200-23139-038148 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-05-19 |
| DECISION DATE | 2023-05-26 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Director of Rehabilitation |
| SOC CODE | 11-9111.00 |
| SOC TITLE | Medical and Health Services Managers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-06-05 |
| END DATE | 2026-06-04 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Clove Lakes Health Care and Rehabilitation Center, INC. |
| EMPLOYER ADDRESS1 | 25 Fanning Street |
| EMPLOYER CITY | Staten Island |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 10314 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17182897900 |
| NAICS CODE | 623110 |
| EMPLOYER POC LAST NAME | Yakovleva |
| EMPLOYER POC FIRST NAME | Nataliya |
| EMPLOYER POC JOB TITLE | Administrator |
| EMPLOYER POC ADDRESS1 | 25 Fanning Street |
| EMPLOYER POC CITY | Staten Island |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 10314 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19174468821 |
| EMPLOYER POC EMAIL | CLAdmin@clovelakes.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Andrews |
| AGENT ATTORNEY FIRST NAME | Kevin |
| AGENT ATTORNEY MIDDLE NAME | J. |
| AGENT ATTORNEY ADDRESS1 | 10451 Mill Run Circle |
| AGENT ATTORNEY ADDRESS2 | Suite 100 |
| AGENT ATTORNEY CITY | Owings Mills |
| AGENT ATTORNEY STATE | MD |
| AGENT ATTORNEY POSTAL CODE | 21117 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14103565440 |
| AGENT ATTORNEY EMAIL ADDRESS | ianb@murthy.com |
| LAWFIRM NAME BUSINESS NAME | Murthy Law Firm |
| STATE OF HIGHEST COURT | MD |
| NAME OF HIGHEST STATE COURT | Supreme Court of Maryland |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 25 Fanning Street |
| LCA CASE WORKLOC1 CITY | Staten Island |
| WORKSITE COUNTY | RICHMOND |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 10314 |
| LCA CASE WAGE RATE FROM | 140000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 127650 |
| PW UNIT OF PAY | Year |
| 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 |
| PREPARER LAST NAME | Bosley |
| PREPARER FIRST NAME | Ian |
| PREPARER BUSINESS NAME | Murthy Law Firm |
| PREPARER EMAIL | ianb@murthy.com |
