| LCA CASE NUMBER | I-200-21074-146908 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-03-15 |
| DECISION DATE | 2021-03-22 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Clinical Nurse Specialist |
| SOC CODE | 29-1141.00 |
| SOC TITLE | Registered Nurses |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-03-15 |
| END DATE | 2024-03-14 |
| 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 | Outreach Home Health Service Inc |
| EMPLOYER ADDRESS1 | 1170 N Durfee Ave |
| EMPLOYER ADDRESS2 | Ste J |
| EMPLOYER CITY | South El Monte |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 91733 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16266180448 |
| NAICS CODE | 621610 |
| EMPLOYER POC LAST NAME | Alberto |
| EMPLOYER POC FIRST NAME | Marsene |
| EMPLOYER POC MIDDLE NAME | T |
| EMPLOYER POC JOB TITLE | Vice President |
| EMPLOYER POC ADDRESS 1 | 1170 N Durfee Ave |
| EMPLOYER POC ADDRESS 2 | Ste J |
| EMPLOYER POC CITY | South El Monte |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 91733 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16266180448 |
| EMPLOYER POC EMAIL | outreach8hhs@gmail.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Medina |
| AGENT ATTORNEY FIRST NAME | Charles |
| AGENT ATTORNEY ADDRESS1 | 2501 E Chapman Ave |
| AGENT ATTORNEY ADDRESS2 | Ste 285 |
| AGENT ATTORNEY CITY | Fullerton |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 92831 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17147866835 |
| AGENT ATTORNEY EMAIL ADDRESS | alicia@medinalawgroup.net |
| LAWFIRM NAME BUSINESS NAME | Law Office of Charles Medina |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1170 N Durfee Ave |
| WORKSITE ADDRESS2 | Ste J |
| LCA CASE WORKLOC1 CITY | South El Monte |
| WORKSITE COUNTY | LOS ANGELES |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 91733 |
| LCA CASE WAGE RATE FROM | 37.34 |
| LCA CASE WAGE RATE TO | 37.35 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 37.34 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | I |
| 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 Employment |
| PREPARER LAST NAME | Medina |
| PREPARER FIRST NAME | Charles |
| PREPARER BUSINESS NAME | Law Office of Charles Medina |
| PREPARER EMAIL | alicia@medinalawgroup.net |
