| LCA CASE NUMBER | I-200-21173-419241 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-06-22 |
| DECISION DATE | 2021-06-29 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | RN Charge Nurse & Nursing Project Coordinator |
| SOC CODE | 11-9111.00 |
| SOC TITLE | Medical and Health Services Managers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-20 |
| END DATE | 2024-07-19 |
| 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 | A.G. Rhodes Home – Cobb, Inc. |
| TRADE NAME DBA | d/b/a A.G. Rhodes Health & Rehab Cobb |
| EMPLOYER ADDRESS1 | 2801 Buford Highway |
| EMPLOYER ADDRESS2 | Suite 500 |
| EMPLOYER CITY | Atlanta |
| EMPLOYER STATE | GA |
| EMPLOYER POSTAL CODE | 30329 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14046363512 |
| NAICS CODE | 623110 |
| EMPLOYER POC LAST NAME | Helton |
| EMPLOYER POC FIRST NAME | Mary |
| EMPLOYER POC JOB TITLE | Corporate Human Resources Director |
| EMPLOYER POC ADDRESS 1 | 2801 Buford Highway |
| EMPLOYER POC ADDRESS 2 | Suite 500 |
| EMPLOYER POC CITY | Atlanta |
| EMPLOYER POC STATE | GA |
| EMPLOYER POC POSTAL CODE | 30329 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14046363512 |
| EMPLOYER POC EMAIL | mhelton@agrhodes.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Jahan |
| AGENT ATTORNEY FIRST NAME | Ashik |
| AGENT ATTORNEY MIDDLE NAME | Rahman |
| AGENT ATTORNEY ADDRESS1 | 191 Peachtree Street, NE |
| AGENT ATTORNEY ADDRESS2 | Suite 2900 |
| AGENT ATTORNEY CITY | Atlanta |
| AGENT ATTORNEY STATE | GA |
| AGENT ATTORNEY POSTAL CODE | 30303 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14049546971 |
| AGENT ATTORNEY EMAIL ADDRESS | AJahan@hallboothsmith.com |
| LAWFIRM NAME BUSINESS NAME | Hall Booth Smith, P.C. |
| STATE OF HIGHEST COURT | GA |
| NAME OF HIGHEST STATE COURT | Supreme Court of Georgia |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 900 Wylie Road |
| LCA CASE WORKLOC1 CITY | Marietta |
| WORKSITE COUNTY | COBB |
| LCA CASE WORKLOC1 STATE | GA |
| WORKSITE POSTAL CODE | 30067 |
| LCA CASE WAGE RATE FROM | 70000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 53997 |
| 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 |
