\ H1B CASE NUMBER I-200-21238-547898



CASE NUNBER: I-200-21238-547898

LCA CASE NUMBERI-200-21238-547898
STATUSCertified
LCA CASE SUBMIT2021-08-26
DECISION DATE2021-09-03
VISA CLASSH-1B
LCA CASE JOB TITLEPhysician Assistant
SOC CODE29-1071.00
SOC TITLEPhysician Assistants
FULL TIME POSITIONTrue
LCA CASE EMPLOYMENT START DATE2021-09-01
END DATE2024-08-31
TOTAL WORKER POSITIONS1
NEW EMPLOYMENT1
CONTINUED EMPLOYMENT0
CHANGE PREVIOUS EMPLOYMENT0
NEW CONCURRENT EMPLOYMENT0
CHANGE EMPLOYER0
AMENDED PETITION0
LCA CASE EMPLOYER NAMETrinity Health Of New England Provider Network Organization, Inc.
EMPLOYER ADDRESS1114 Woodland Street
EMPLOYER CITYHartford
EMPLOYER STATECT
EMPLOYER POSTAL CODE6105
EMPLOYER COUNTRYUNITED STATES OF AMERICA
EMPLOYER PHONE18607144000
NAICS CODE622110
EMPLOYER POC LAST NAMEDavis
EMPLOYER POC FIRST NAMEMallory
EMPLOYER POC JOB TITLEPhysician & Advanced Practitioner Recruitment Specialist
EMPLOYER POC ADDRESS11000 Asylum Ave., 4th Floor
EMPLOYER POC CITYHartford
EMPLOYER POC STATECT
EMPLOYER POC POSTAL CODE6105
EMPLOYER POC COUNTRYUNITED STATES OF AMERICA
EMPLOYER POC PHONE18607144000
EMPLOYER POC EMAILMallory.Davis@TrinityHealthofNE.org
AGENT REPRESENTING EMPLOYERTrue
AGENT ATTORNEY LAST NAMEWizner
AGENT ATTORNEY FIRST NAMEAndrew
AGENT ATTORNEY MIDDLE NAMELewis
AGENT ATTORNEY ADDRESS1999 Asylum Ave., Suite 202
AGENT ATTORNEY CITYHartford
AGENT ATTORNEY STATECT
AGENT ATTORNEY POSTAL CODE6105
AGENT ATTORNEY COUNTRYUNITED STATES OF AMERICA
AGENT ATTORNEY PHONE18602498100
AGENT ATTORNEY EMAIL ADDRESSawizner@lkwvisa.com
LAWFIRM NAME BUSINESS NAMELeete, Kosto & Wizner, LLP
STATE OF HIGHEST COURTCT
NAME OF HIGHEST STATE COURTSupreme
WORKSITE WORKERS1
SECONDARY ENTITYTrue
SECONDARY ENTITY BUSINESS NAMESaint Francis Hospital and Medical Center
WORKSITE ADDRESS1114 Woodland Street
LCA CASE WORKLOC1 CITYHartford
WORKSITE COUNTYHARTFORD CITY
LCA CASE WORKLOC1 STATECT
WORKSITE POSTAL CODE06105-2475
LCA CASE WAGE RATE FROM124841.6
LCA CASE WAGE RATE TO190965.22
LCA CASE WAGE RATE UNITYear
PREVAILING WAGE109491
PW UNIT OF PAYYear
PW WAGE LEVELI
PW OES YEAR7/1/2021 - 6/30/2022
TOTAL WORKSITE LOCATIONS1
AGREE TO LC STATEMENTTrue
H-1B DEPENDENTFalse
WILLFUL VIOLATORFalse
PUBLIC DISCLOSUREDisclose Business
PREPARER LAST NAMEZhu
PREPARER FIRST NAMEYunli
PREPARER BUSINESS NAMELeete, Kosto and Wizner, LLP
PREPARER EMAILjzhu@lkwvisa.com