| LCA CASE NUMBER | I-200-21197-465903 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-07-16 |
| DECISION DATE | 2021-07-23 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Registered Nurse |
| SOC CODE | 29-1141.00 |
| SOC TITLE | Registered Nurses |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-16 |
| END DATE | 2024-07-15 |
| 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 | Southwest Louisiana Hospital Association |
| TRADE NAME DBA | Lake Charles Memorial Hospital |
| EMPLOYER ADDRESS1 | 1701 Oak Park Boulevard |
| EMPLOYER CITY | Lake Charles |
| EMPLOYER STATE | LA |
| EMPLOYER POSTAL CODE | 70601 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13374943255 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Labove |
| EMPLOYER POC FIRST NAME | Krystal |
| EMPLOYER POC JOB TITLE | HR Operations Manager |
| EMPLOYER POC ADDRESS1 | 1701 Oak Park Boulevard |
| EMPLOYER POC CITY | Lake Charles |
| EMPLOYER POC STATE | LA |
| EMPLOYER POC POSTAL CODE | 70601 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13374942647 |
| EMPLOYER POC EMAIL | klabove@lcmh.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | GOKARE |
| AGENT ATTORNEY FIRST NAME | MANJUNATH |
| AGENT ATTORNEY MIDDLE NAME | A |
| AGENT ATTORNEY ADDRESS1 | 11545 PARK WOODS CIRCLE |
| AGENT ATTORNEY ADDRESS2 | SUITE D |
| AGENT ATTORNEY CITY | ALPHARETTA |
| AGENT ATTORNEY STATE | GA |
| AGENT ATTORNEY POSTAL CODE | 30005 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16788679390 |
| AGENT ATTORNEY PHONE EXT | 104 |
| AGENT ATTORNEY EMAIL ADDRESS | LCA@GOKARELAW.COM |
|
| LAWFIRM NAME BUSINESS NAME | MANJUNATH GOKARE P.C. D/B/A GOKARE LAW FIRM |
| STATE OF HIGHEST COURT | GA |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | Lake Charles Memorial Hospital 1701 Oak Park Boulevard |
| LCA CASE WORKLOC1 CITY | Lake Charles |
| WORKSITE COUNTY | CALCASIEU |
| LCA CASE WORKLOC1 STATE | LA |
| WORKSITE POSTAL CODE | 70601 |
| LCA CASE WAGE RATE FROM | 51355 |
| LCA CASE WAGE RATE TO | 52000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 51355 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | NOT APPLICABLE |
| PREPARER FIRST NAME | NOT APPLICABLE |
| PREPARER BUSINESS NAME | NOT APPLICABLE |
| PREPARER EMAIL | LCA@GOKARELAW.COM |
