| LCA CASE NUMBER | I-200-21344-758682 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-12-10 |
| DECISION DATE | 2021-12-17 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Director of Rehab/Occupational Therapist |
| SOC CODE | 11-9111.00 |
| SOC TITLE | Medical and Health Services Managers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-12-17 |
| END DATE | 2024-12-16 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | PVR Rehab Services, Inc. |
| EMPLOYER ADDRESS1 | 551 Estudillo Ave |
| EMPLOYER CITY | San Leandro |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94577 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15133523402 |
| NAICS CODE | 623110 |
| EMPLOYER POC LAST NAME | Poddatoori |
| EMPLOYER POC FIRST NAME | Pratap |
| EMPLOYER POC JOB TITLE | President/CEO |
| EMPLOYER POC ADDRESS1 | 551 Estudillo Ave |
| EMPLOYER POC CITY | San Leandro |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94577 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15103523402 |
| EMPLOYER POC EMAIL | van.ha@hycare.net |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Dawson |
| AGENT ATTORNEY FIRST NAME | John |
| AGENT ATTORNEY MIDDLE NAME | Spencer |
| AGENT ATTORNEY ADDRESS1 | 302 West Third Street |
| AGENT ATTORNEY ADDRESS2 | Suite 710 |
| AGENT ATTORNEY CITY | Cincinnati |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 45202 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15133818472 |
| AGENT ATTORNEY PHONE EXT | 93 |
| AGENT ATTORNEY EMAIL ADDRESS | john.dawson@muimmigration.com |
| LAWFIRM NAME BUSINESS NAME | MusilloUnkenholt, LLC |
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | Shattuck Health Care, Inc dba Elmwood Care Center |
| WORKSITE ADDRESS1 | 2829 Shattuck Ave |
| LCA CASE WORKLOC1 CITY | Berkeley |
| WORKSITE COUNTY | ALAMEDA |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 94705 |
| LCA CASE WAGE RATE FROM | 85634 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 85634 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Gomez |
| PREPARER FIRST NAME | Ana |
| PREPARER MIDDLE INITIAL | M |
| PREPARER BUSINESS NAME | MusilloUnkenholt, LLC |
| PREPARER EMAIL | ana.gomez@muimmigration.com |
