| LCA CASE NUMBER | I-200-21245-560465 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-09-01 |
| DECISION DATE | 2021-09-09 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | LEAD REGISTERED NURSE CASE MANAGER |
| SOC CODE | 11-9111.00 |
| SOC TITLE | Medical and Health Services Managers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-10-01 |
| END DATE | 2023-09-30 |
| 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 | TAKECARE INSURANCE COMPANY, INC |
| EMPLOYER ADDRESS1 | P. O. BOX 6578 |
| EMPLOYER CITY | TAMUNING |
| EMPLOYER STATE | GU |
| EMPLOYER POSTAL CODE | 96931 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16716466956 |
| EMPLOYER PHONE EXT | 7152 |
| NAICS CODE | 524114 |
| EMPLOYER POC LAST NAME | CHIU |
| EMPLOYER POC FIRST NAME | GEORGE |
| EMPLOYER POC JOB TITLE | PRESIDENT/CEO |
| EMPLOYER POC ADDRESS1 | P. O. BOX 6578 |
| EMPLOYER POC CITY | TAMUNING |
| EMPLOYER POC STATE | GU |
| EMPLOYER POC POSTAL CODE | 96931 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16716466956 |
| EMPLOYER POC PHONE EXT | 7152 |
| EMPLOYER POC EMAIL | KAREN.SANCHEZ@TAKECAREASIA.COM |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | XU |
| AGENT ATTORNEY FIRST NAME | NELSON |
| AGENT ATTORNEY MIDDLE NAME | JUN |
| AGENT ATTORNEY ADDRESS1 | 238 ARCHBISHOP FLORES STREET |
| AGENT ATTORNEY ADDRESS2 | SUITE 903 |
| AGENT ATTORNEY CITY | HAGATNA |
| AGENT ATTORNEY STATE | GU |
| AGENT ATTORNEY POSTAL CODE | 96910 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16716889083 |
| AGENT ATTORNEY EMAIL ADDRESS | NELSON.XU@BAUMANNGUAM.COM |
| LAWFIRM NAME BUSINESS NAME | BAUMANN, KONDAS AND XU, LLC |
| STATE OF HIGHEST COURT | GU |
| NAME OF HIGHEST STATE COURT | SUPREME COURT OF GUAM |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 415 CHALAN SAN ANTONIO, BALTEJ PAVILION |
| WORKSITE ADDRESS2 | SUITE 108 |
| LCA CASE WORKLOC1 CITY | TAMUNING |
| WORKSITE COUNTY | TAMUNING |
| LCA CASE WORKLOC1 STATE | GU |
| WORKSITE POSTAL CODE | 96913 |
| LCA CASE WAGE RATE FROM | 31.84 |
| LCA CASE WAGE RATE TO | 32 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 31.84 |
| 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 Employment |
| PREPARER LAST NAME | XU |
| PREPARER FIRST NAME | NELSON |
| PREPARER MIDDLE INITIAL | J |
| PREPARER BUSINESS NAME | BAUMANN, KONDAS AND XU, LLC |
| PREPARER EMAIL | NELSON.XU@BAUMANNGUAM.COM |
