| LCA CASE NUMBER | I-200-22223-411682 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-08-11 |
| DECISION DATE | 2022-08-18 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Nurse Practitioner |
| SOC CODE | 29-1171.00 |
| SOC TITLE | Nurse Practitioners |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-11-07 |
| END DATE | 2025-11-06 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | General Hospital Corporation |
| TRADE NAME DBA | Massachusetts General Hospital |
| EMPLOYER ADDRESS1 | Office for Global Professionals and Scholars |
| EMPLOYER ADDRESS2 | 399 REVOLUTION DRIVE, STE 270 |
| EMPLOYER CITY | SOMERVILLE |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 2145 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18572822421 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Palatas |
| EMPLOYER POC FIRST NAME | Noel |
| EMPLOYER POC JOB TITLE | Manager, GPS |
| EMPLOYER POC ADDRESS1 | 399 REVOLUTION DRIVE |
| EMPLOYER POC ADDRESS2 | STE 270 |
| EMPLOYER POC CITY | SOMERVILLE |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 2145 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18572822421 |
| EMPLOYER POC EMAIL | npalatas@partners.org |
| AGENT REPRESENTING EMPLOYER | False |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 332 Hanover Street |
| LCA CASE WORKLOC1 CITY | Boston |
| WORKSITE COUNTY | BOSTON CITY |
| LCA CASE WORKLOC1 STATE | MA |
| WORKSITE POSTAL CODE | 2113 |
| LCA CASE WAGE RATE FROM | 96928 |
| LCA CASE WAGE RATE TO | 193440 |
| LCA CASE WAGE RATE UNIT | Year |
|
| PREVAILING WAGE | 82722 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Pawelski |
| PREPARER FIRST NAME | Anthony |
| PREPARER MIDDLE INITIAL | D |
| PREPARER BUSINESS NAME | Office for Global Professionals and Scholars |
| PREPARER EMAIL | apawelski@partners.org |
