| LCA CASE NUMBER | I-200-20035-296774 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-02-04 |
| DECISION DATE | 2020-02-11 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Occupational Therapist |
| SOC CODE | 29-1122.00 |
| SOC TITLE | Occupational Therapists |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-02-10 |
| END DATE | 2023-02-09 |
| 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 | Mesa Verde Convalescent Hospital, Inc |
| EMPLOYER ADDRESS1 | 661 Center Street |
| EMPLOYER CITY | Costa Mesa |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 92627 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19495485584 |
| NAICS CODE | 622310 |
| EMPLOYER POC LAST NAME | Talebi |
| EMPLOYER POC FIRST NAME | Lawrence |
| EMPLOYER POC JOB TITLE | Administrator |
| EMPLOYER POC ADDRESS1 | 661 Center Street |
| EMPLOYER POC CITY | Costa Mesa |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 92627 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19495485584 |
| EMPLOYER POC EMAIL | administrator@mesaverdehealthcare.com |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Hoballah |
| AGENT ATTORNEY FIRST NAME | Wafa |
| AGENT ATTORNEY ADDRESS1 | 1901 Avenue of the Stars |
| AGENT ATTORNEY ADDRESS2 | Suite 200 |
| AGENT ATTORNEY CITY | Los Angeles |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 90067 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13102776953.0 |
| AGENT ATTORNEY EMAIL ADDRESS | wafa@wjhlawgroup.com |
| LAWFIRM NAME BUSINESS NAME | WJH Law Group APC |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Appeal Court |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 661 Center Street |
| LCA CASE WORKLOC1 CITY | Costa Mesa |
| WORKSITE COUNTY | ORANGE |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 92627 |
| LCA CASE WAGE RATE FROM | 51.96 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 51.96 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Employment |