| LCA CASE NUMBER | I-200-21201-472005 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-07-20 |
| DECISION DATE | 2021-07-27 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | OT Homecare Clinician |
| SOC CODE | 29-1122.00 |
| SOC TITLE | Occupational Therapists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-10-15 |
| END DATE | 2024-10-14 |
| 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 | MedStar Health, Inc. |
| EMPLOYER ADDRESS1 | 10980 Grantchester Way |
| EMPLOYER ADDRESS2 | 2301 Broadbirch Drive Silver Spring, MD 20904 |
| EMPLOYER CITY | Columbia |
| EMPLOYER STATE | MD |
| EMPLOYER POSTAL CODE | 21044 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14105743000 |
| NAICS CODE | 62211 |
| EMPLOYER POC LAST NAME | Donovan |
| EMPLOYER POC FIRST NAME | Tovah |
| EMPLOYER POC JOB TITLE | Human Resources Business Partner |
| EMPLOYER POC ADDRESS1 | 2301 Broadbirch Dr. |
| EMPLOYER POC CITY | Silver Spring |
| EMPLOYER POC STATE | MD |
| EMPLOYER POC POSTAL CODE | 20705 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13013950739 |
| EMPLOYER POC EMAIL | Tovah.J.Donovan@medstar.net |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Fu |
| AGENT ATTORNEY FIRST NAME | Minnie |
| AGENT ATTORNEY ADDRESS1 | 10701 Parkridge Blvd. |
| AGENT ATTORNEY ADDRESS2 | Ste. 300 |
| AGENT ATTORNEY CITY | Reston |
| AGENT ATTORNEY STATE | VA |
| AGENT ATTORNEY POSTAL CODE | 20191 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17034838300 |
| AGENT ATTORNEY PHONE EXT | 8311 |
| AGENT ATTORNEY EMAIL ADDRESS | Minnie.Fu@jacksonlewis.com |
| LAWFIRM NAME BUSINESS NAME | Jackson Lewis P.C. |
|
| STATE OF HIGHEST COURT | DC |
| NAME OF HIGHEST STATE COURT | Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 2301 Broadbirch Dr. |
| LCA CASE WORKLOC1 CITY | Silver Spring |
| WORKSITE COUNTY | MONTGOMERY |
| LCA CASE WORKLOC1 STATE | MD |
| WORKSITE POSTAL CODE | 20904 |
| LCA CASE WAGE RATE FROM | 90263 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 81016 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Harmon |
| PREPARER FIRST NAME | Sarah |
| PREPARER MIDDLE INITIAL | G |
| PREPARER BUSINESS NAME | Jackson Lewis P.C. |
| PREPARER EMAIL | sarah.harmon@jacksonlewis.com |
