| LCA CASE NUMBER | I-200-21070-138756 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-03-11 |
| DECISION DATE | 2021-03-18 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Critrical Care Nurse |
| SOC CODE | 29-1141.03 |
| SOC TITLE | Critical Care Nurses |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-09-01 |
| END DATE | 2024-08-31 |
| 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 | Self Regional Healthcare |
| EMPLOYER ADDRESS1 | 1325 Spring Street |
| EMPLOYER CITY | Greenwood |
| EMPLOYER STATE | SC |
| EMPLOYER POSTAL CODE | 29646 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18647254111 |
| NAICS CODE | 6221 |
| EMPLOYER POC LAST NAME | Burnett |
| EMPLOYER POC FIRST NAME | Annette |
| EMPLOYER POC JOB TITLE | Recruiter |
| EMPLOYER POC ADDRESS 1 | 1325 Spring Street |
| EMPLOYER POC CITY | Greenwood |
| EMPLOYER POC STATE | SC |
| EMPLOYER POC POSTAL CODE | 29646 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18647254999 |
| EMPLOYER POC EMAIL | annette.burnett@selfregional.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Steck |
| AGENT ATTORNEY FIRST NAME | Garrett |
| AGENT ATTORNEY MIDDLE NAME | David |
| AGENT ATTORNEY ADDRESS1 | P.O. Box 2048 |
| AGENT ATTORNEY CITY | Greenville |
| AGENT ATTORNEY STATE | SC |
| AGENT ATTORNEY POSTAL CODE | 29602 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18642403200 |
| AGENT ATTORNEY EMAIL ADDRESS | gsteck@hsblawfirm.com |
| LAWFIRM NAME BUSINESS NAME | Haynsworth Sinkler Boyd PA |
| STATE OF HIGHEST COURT | SC |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1325 Spring Street |
| LCA CASE WORKLOC1 CITY | Greenwood |
| WORKSITE COUNTY | GREENWOOD |
| LCA CASE WORKLOC1 STATE | SC |
| WORKSITE POSTAL CODE | 29646 |
| LCA CASE WAGE RATE FROM | 33 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 31.09 |
| PW UNIT OF PAY | Hour |
| 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 |
