| LCA CASE NUMBER | I-200-21105-227702 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-15 |
| DECISION DATE | 2021-04-22 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Occupational Therapist |
| SOC CODE | 29-1122.00 |
| SOC TITLE | Occupational Therapists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-10-02 |
| END DATE | 2023-10-01 |
| 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 | Good Samaritan Hospital LP |
| EMPLOYER ADDRESS1 | 2425 Samaritan Drive |
| EMPLOYER CITY | San Jose |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 95124 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14085592370 |
| NAICS CODE | 62211 |
| EMPLOYER POC LAST NAME | Nguyen |
| EMPLOYER POC FIRST NAME | Christine |
| EMPLOYER POC JOB TITLE | HR Business Partner |
| EMPLOYER POC ADDRESS 1 | 2425 Samaritan Hospital |
| EMPLOYER POC CITY | San Jose |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 95124 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14085592370 |
| EMPLOYER POC EMAIL | christine.nguyen2@hcahealthcare.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Hammond |
| AGENT ATTORNEY FIRST NAME | Michael |
| AGENT ATTORNEY MIDDLE NAME | F |
| AGENT ATTORNEY ADDRESS1 | 441 Vine Street |
| AGENT ATTORNEY ADDRESS2 | 3200 Carew Tower |
| AGENT ATTORNEY CITY | Cincinnati |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 45202 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15133812011 |
| AGENT ATTORNEY EMAIL ADDRESS | edm@hammondlawgroup.com |
| LAWFIRM NAME BUSINESS NAME | Hammond Neal Moore |
| STATE OF HIGHEST COURT | OH |
|
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 2425 Samaritan Hospital |
| LCA CASE WORKLOC1 CITY | San Jose |
| WORKSITE COUNTY | SANTA CLARA |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 95124 |
| LCA CASE WAGE RATE FROM | 50.63 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 49.17 |
| 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 |
