| LCA CASE NUMBER | I-200-21104-225096 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2021-04-14 |
| DECISION DATE | 2022-06-01 |
| ORIGINAL CERT DATE | 2021-04-21 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Internal Medicine Physician |
| SOC CODE | 29-1063.00 |
| SOC TITLE | Internists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-06-20 |
| END DATE | 2024-06-19 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | PMR Georgia Holding, LLC |
| TRADE NAME DBA | JenCare Senior Medical Center |
| EMPLOYER ADDRESS1 | 1395 NW 167th Street |
| EMPLOYER CITY | Miami Gardens |
| EMPLOYER STATE | FL |
| EMPLOYER POSTAL CODE | 33169 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13056286130 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Acosta |
| EMPLOYER POC FIRST NAME | Jennise |
| EMPLOYER POC JOB TITLE | Corporate Counsel |
| EMPLOYER POC ADDRESS1 | 1395 NW 167th Street |
| EMPLOYER POC CITY | Miami Gardens |
| EMPLOYER POC STATE | FL |
| EMPLOYER POC POSTAL CODE | 33169 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13056286130 |
| EMPLOYER POC EMAIL | jennise.acosta@chenmed.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Huynh |
| AGENT ATTORNEY FIRST NAME | Loan |
| AGENT ATTORNEY MIDDLE NAME | Thi |
| AGENT ATTORNEY ADDRESS1 | 200 South Sixth St. |
| AGENT ATTORNEY ADDRESS2 | Suite 4000 |
| AGENT ATTORNEY CITY | Minneapolis |
| AGENT ATTORNEY STATE | MN |
| AGENT ATTORNEY POSTAL CODE | 55402 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16124927165 |
| AGENT ATTORNEY EMAIL ADDRESS | lhuynh@fredlaw.com |
| LAWFIRM NAME BUSINESS NAME | Fredrikson & Byron, P.A. |
| STATE OF HIGHEST COURT | MN |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1331 Mount Zion Rd |
| LCA CASE WORKLOC1 CITY | Morrow |
| WORKSITE COUNTY | CLAYTON |
| LCA CASE WORKLOC1 STATE | GA |
| WORKSITE POSTAL CODE | 30260 |
| LCA CASE WAGE RATE FROM | 86694 |
| LCA CASE WAGE RATE TO | 225000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 86694 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 5 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
