| LCA CASE NUMBER | I-200-20153-617354 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-06-01 |
| DECISION DATE | 2020-06-08 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Occupational Therapist |
| SOC CODE | 29-1122.00 |
| SOC TITLE | Occupational Therapists |
| FULL TIME POSITION | N |
| LCA CASE EMPLOYMENT START DATE | 2020-07-01 |
| END DATE | 2022-09-29 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 1 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Xela Enterprises, Inc. |
| TRADE NAME DBA | Grandcare Home Health, LLC |
| EMPLOYER ADDRESS1 | 12100 Ford Rd |
| EMPLOYER ADDRESS2 | #B318 |
| EMPLOYER CITY | Farmers Branch |
| EMPLOYER STATE | TX |
| EMPLOYER POSTAL CODE | 75234 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19724397474 |
| NAICS CODE | 62161 |
| EMPLOYER POC LAST NAME | Abraham |
| EMPLOYER POC FIRST NAME | Isaiah |
| EMPLOYER POC MIDDLE NAME | A. |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS1 | 12100 Ford Rd |
| EMPLOYER POC ADDRESS2 | #B318 |
| EMPLOYER POC CITY | Farmers Branch |
| EMPLOYER POC STATE | TX |
| EMPLOYER POC POSTAL CODE | 75234 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19724397474 |
| EMPLOYER POC EMAIL | alex@grandcarehh.com |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Tungol |
| AGENT ATTORNEY FIRST NAME | Renato |
| AGENT ATTORNEY MIDDLE NAME | Dumagan |
| AGENT ATTORNEY ADDRESS1 | 7705 Farmingdale Drive |
| AGENT ATTORNEY CITY | Darien |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 60561 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16309208983.0 |
| AGENT ATTORNEY EMAIL ADDRESS | raytungol@gmail.com |
| LAWFIRM NAME BUSINESS NAME | Tungol Law Office |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | Michigan Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 12100 Ford Rd |
| WORKSITE ADDRESS2 | #B318 |
| LCA CASE WORKLOC1 CITY | Farmers Branch |
| WORKSITE COUNTY | DALLAS |
| LCA CASE WORKLOC1 STATE | TX |
| WORKSITE POSTAL CODE | 75234 |
| LCA CASE WAGE RATE FROM | 50.0 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 39.07 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
