| LCA CASE NUMBER | I-200-21320-709334 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-11-16 |
| DECISION DATE | 2021-11-23 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | SPEECH LANGUAGE PATHOLOGIST |
| SOC CODE | 29-1127.00 |
| SOC TITLE | Speech-Language Pathologists |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2021-12-01 |
| END DATE | 2022-09-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 1 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | INDEPENDENCE HOME HEALTHCARE. INC. |
| EMPLOYER ADDRESS1 | 135 W WALNUT STREET |
| EMPLOYER CITY | GARDENA |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 90248 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13105231905 |
| NAICS CODE | 621610 |
| EMPLOYER POC LAST NAME | PEREZ |
| EMPLOYER POC FIRST NAME | JOSE VICENTE |
| EMPLOYER POC JOB TITLE | CEO/ADMINISTRATOR |
| EMPLOYER POC ADDRESS1 | 135 W WALNUT STREET |
| EMPLOYER POC CITY | GARDENA |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 90248 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13105231905 |
| EMPLOYER POC EMAIL | independencehealth90248@gmail.com |
| AGENT REPRESENTING EMPLOYER | False |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 135 W WALNUT STREET |
| LCA CASE WORKLOC1 CITY | GARDENA |
| WORKSITE COUNTY | LOS ANGELES |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 90248 |
| LCA CASE WAGE RATE FROM | 37.1 |
| LCA CASE WAGE RATE TO | 37.11 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 37.1 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
