| LCA CASE NUMBER | I-200-21116-258074 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-26 |
| DECISION DATE | 2021-05-03 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Systems Administrator |
| SOC CODE | 15-1142.00 |
| SOC TITLE | Network and Computer Systems Administrators |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-10-01 |
| END DATE | 2024-09-30 |
| 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 | Creative Hospice Care, Inc. |
| TRADE NAME DBA | Homestead Hospice |
| EMPLOYER ADDRESS1 | 10888 Crabapple Road |
| EMPLOYER CITY | Roswell |
| EMPLOYER STATE | GA |
| EMPLOYER POSTAL CODE | 30075 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16789660077 |
| NAICS CODE | 623110 |
| EMPLOYER POC LAST NAME | Jallali |
| EMPLOYER POC FIRST NAME | Farzaneh |
| EMPLOYER POC JOB TITLE | Human Resource Generalist |
| EMPLOYER POC ADDRESS 1 | 10888 Crabapple Road |
| EMPLOYER POC CITY | Roswell |
| EMPLOYER POC STATE | GA |
| EMPLOYER POC POSTAL CODE | 30075 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16789660077 |
| EMPLOYER POC EMAIL | fjallali@homesteadhospice.net |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Chiu |
| AGENT ATTORNEY FIRST NAME | Pei-Yao |
| AGENT ATTORNEY ADDRESS1 | 4491 Peachtree Industrial Blvd. |
| AGENT ATTORNEY CITY | Berkeley Lake |
| AGENT ATTORNEY STATE | GA |
| AGENT ATTORNEY POSTAL CODE | 30092 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17704161850 |
| AGENT ATTORNEY EMAIL ADDRESS | montyc@montychiu.com |
| LAWFIRM NAME BUSINESS NAME | Monty Chiu & Associates, P.C. |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 10888 Crabapple Road |
| LCA CASE WORKLOC1 CITY | Roswell |
| WORKSITE COUNTY | FULTON |
| LCA CASE WORKLOC1 STATE | GA |
| WORKSITE POSTAL CODE | 30075 |
| LCA CASE WAGE RATE FROM | 59114 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 59114 |
| PW UNIT OF PAY | Year |
| 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 Business |
