| LCA CASE NUMBER | I-200-21203-478594 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-07-22 |
| DECISION DATE | 2021-07-29 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | IT MANAGER |
| SOC CODE | 11-3021.00 |
| SOC TITLE | Computer and Information Systems Managers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-08-16 |
| END DATE | 2024-08-15 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | PRIME HEALTHCARE FOUNDATION - SOUTHERN REGIONAL, LLC |
| TRADE NAME DBA | SOUTHERN REGIONAL MEDICAL CENTER |
| EMPLOYER ADDRESS1 | 11 UPPER RIVERDALE ROAD |
| EMPLOYER CITY | RIVERDALE |
| EMPLOYER STATE | GA |
| EMPLOYER POSTAL CODE | 30274 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17709918000 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | DUPRE |
| EMPLOYER POC FIRST NAME | CHARLOTTE |
| EMPLOYER POC MIDDLE NAME | W |
| EMPLOYER POC JOB TITLE | CHIEF EXECUTIVE OFFICER |
| EMPLOYER POC ADDRESS1 | 11 UPPER RIVERDALE ROAD |
| EMPLOYER POC CITY | RIVERDALE |
| EMPLOYER POC STATE | GA |
| EMPLOYER POC POSTAL CODE | 30274 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19096575031 |
| EMPLOYER POC EMAIL | CDUPRE@PRIMEHEALTHCARE.COM |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | ANGELES |
| AGENT ATTORNEY FIRST NAME | ANGELA |
| AGENT ATTORNEY ADDRESS1 | 3480 E. GUASTI RD. |
| AGENT ATTORNEY ADDRESS2 | 2ND FLR. |
| AGENT ATTORNEY CITY | ONTARIO |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 91761 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19096575031 |
| AGENT ATTORNEY EMAIL ADDRESS | IMMIGRATION@PRIMEHEALTHCARE.COM |
| LAWFIRM NAME BUSINESS NAME | PRIME HEALTHCARE MANAGEMENT, INC. |
|
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | SUPREME COURT OF CALIFORNIA |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 11 UPPER RIVERDALE ROAD |
| LCA CASE WORKLOC1 CITY | RIVERDALE |
| WORKSITE COUNTY | CLAYTON |
| LCA CASE WORKLOC1 STATE | GA |
| WORKSITE POSTAL CODE | 30274 |
| LCA CASE WAGE RATE FROM | 50.14 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 50.14 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | I |
| 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 | ANGELES |
| PREPARER FIRST NAME | ANGELA |
| PREPARER BUSINESS NAME | PRIME HEALTHCARE MANAGEMENT, INC. |
| PREPARER EMAIL | IMMIGRATION@PRIMEHEALTHCARE.COM |
