| LCA CASE NUMBER | I-200-21133-312051 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-05-13 |
| DECISION DATE | 2021-05-20 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Medical Resident |
| SOC CODE | 29-9099.00 |
| SOC TITLE | Healthcare Practitioners and Technical Workers, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-01 |
| END DATE | 2023-06-30 |
| 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 | Prime Healthcare Services - Landmark, LLC |
| TRADE NAME DBA | Landmark Medical Center |
| EMPLOYER ADDRESS1 | 115 Cass Ave. |
| EMPLOYER CITY | Woonsocket |
| EMPLOYER STATE | RI |
| EMPLOYER POSTAL CODE | 2895 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14017694100 |
| EMPLOYER PHONE EXT | 2841 |
| NAICS CODE | 62211 |
| EMPLOYER POC LAST NAME | Souza |
| EMPLOYER POC FIRST NAME | Michael |
| EMPLOYER POC MIDDLE NAME | R |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS 1 | 115 Cass Ave. |
| EMPLOYER POC CITY | Woonsocket |
| EMPLOYER POC STATE | RI |
| EMPLOYER POC POSTAL CODE | 02895 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14017694100 |
| EMPLOYER POC PHONE EXT | 2841 |
| EMPLOYER POC EMAIL | pgoncalves3@primehealthcare.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Chary |
| AGENT ATTORNEY FIRST NAME | Siddharth |
| AGENT ATTORNEY MIDDLE NAME | S |
| AGENT ATTORNEY ADDRESS1 | 175 Kent Ave. |
| AGENT ATTORNEY ADDRESS2 | 416 |
| AGENT ATTORNEY CITY | Brooklyn |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 11249 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12129608365 |
| AGENT ATTORNEY EMAIL ADDRESS | sid@charylaw.com |
| LAWFIRM NAME BUSINESS NAME | The Chary Law Firm, P.C. |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 115 Cass Ave. |
| LCA CASE WORKLOC1 CITY | Woonsocket |
| WORKSITE COUNTY | WOONSOCKET CITY |
| LCA CASE WORKLOC1 STATE | RI |
| WORKSITE POSTAL CODE | 2895 |
| LCA CASE WAGE RATE FROM | 55000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 47424 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| 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 |
