| LCA CASE NUMBER | I-200-21126-291903 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-05-06 |
| DECISION DATE | 2021-05-13 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Pediatrician |
| SOC CODE | 29-1065.00 |
| SOC TITLE | Pediatricians, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-10-01 |
| END DATE | 2024-09-30 |
| 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 | Goshen Health System, Inc |
| TRADE NAME DBA | Goshen Physicians |
| EMPLOYER ADDRESS1 | 200 High Park Ave |
| EMPLOYER CITY | Goshen |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 46526 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15743642610 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Jacobs |
| EMPLOYER POC FIRST NAME | Alyssa |
| EMPLOYER POC JOB TITLE | Physician & APP Recruiter |
| EMPLOYER POC ADDRESS 1 | 2004 Elkhart Road Suite A |
| EMPLOYER POC CITY | Goshen |
| EMPLOYER POC STATE | IN |
| EMPLOYER POC POSTAL CODE | 46526 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15743642750 |
| EMPLOYER POC EMAIL | ajacobs@goshenhealth.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | D'Souza |
| AGENT ATTORNEY FIRST NAME | Gerard |
| AGENT ATTORNEY ADDRESS1 | 37267 Chester Rd |
| AGENT ATTORNEY CITY | Avon |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 44011 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12162272889 |
| AGENT ATTORNEY EMAIL ADDRESS | immigration_lawyer@yahoo.com |
| LAWFIRM NAME BUSINESS NAME | Gerard D'Souza, Esq |
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | Supreme Court of Ohio |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | Goshen Physicians |
| WORKSITE ADDRESS2 | 1852 Ashburn Drive |
| LCA CASE WORKLOC1 CITY | Goshen |
| WORKSITE COUNTY | ELKHART |
| LCA CASE WORKLOC1 STATE | IN |
| WORKSITE POSTAL CODE | 46526 |
| LCA CASE WAGE RATE FROM | 265000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 210246 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 10 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
