| LCA CASE NUMBER | I-200-20352-965612 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-12-16 |
| DECISION DATE | 2020-12-23 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Director of Operations & Rehab |
| SOC CODE | 29-1123.00 |
| SOC TITLE | Physical Therapists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2020-12-17 |
| END DATE | 2023-12-16 |
| 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 | Supreme Rehabilitation Services, Inc. |
| EMPLOYER ADDRESS1 | 1333 W. McDermott Drive, Suite 260 |
| EMPLOYER CITY | Allen |
| EMPLOYER STATE | TX |
| EMPLOYER POSTAL CODE | 75013 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19724544567 |
| NAICS CODE | 62161 |
| EMPLOYER POC LAST NAME | Henson |
| EMPLOYER POC FIRST NAME | Krysta |
| EMPLOYER POC JOB TITLE | Administrator |
| EMPLOYER POC ADDRESS 1 | 1333 W. McDermott Drive, Suite 260 |
| EMPLOYER POC CITY | Allen |
| EMPLOYER POC STATE | TX |
| EMPLOYER POC POSTAL CODE | 75013 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19724544567 |
| EMPLOYER POC EMAIL | admin@supremerehab.net |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Khan |
| AGENT ATTORNEY FIRST NAME | Sheeba |
| AGENT ATTORNEY ADDRESS1 | 23023 Orchard Lake Road |
| AGENT ATTORNEY ADDRESS2 | Bldg. A2 |
| AGENT ATTORNEY CITY | Farmington |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 48336 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12488880201 |
| AGENT ATTORNEY EMAIL ADDRESS | sheeba@khanlaw.com |
| LAWFIRM NAME BUSINESS NAME | LAW OFFICES OF SHEEBA KHAN PLC |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1333 W. McDermott Drive, Suite 260 |
| LCA CASE WORKLOC1 CITY | Allen |
| WORKSITE COUNTY | COLLIN |
| LCA CASE WORKLOC1 STATE | TX |
| WORKSITE POSTAL CODE | 75013 |
| LCA CASE WAGE RATE FROM | 105000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 92955 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Khan |
| PREPARER FIRST NAME | Sheeba |
| PREPARER BUSINESS NAME | LAW OFFICES OF SHEEBA KHAN PLC |
| PREPARER EMAIL | sheeba@khanlaw.com |
