| LCA CASE NUMBER | I-200-23108-944076 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-04-18 |
| DECISION DATE | 2023-04-25 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Pediatrician |
| SOC CODE | 29-1221.00 |
| SOC TITLE | Pediatricians, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-05-01 |
| END DATE | 2026-04-30 |
| 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 | Grace Community Health Center, Inc. dba Grace Health |
| EMPLOYER ADDRESS1 | 1019 Cumberland Falls Hwy. |
| EMPLOYER ADDRESS2 | Suite B201 |
| EMPLOYER CITY | Corbin |
| EMPLOYER STATE | KY |
| EMPLOYER POSTAL CODE | 40701 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16065269005 |
| EMPLOYER PHONE EXT | 6001 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Stanley |
| EMPLOYER POC FIRST NAME | Michael |
| EMPLOYER POC MIDDLE NAME | Wayne |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS1 | 1019 Cumberland Falls Hwy. |
| EMPLOYER POC ADDRESS2 | Suite B201 |
| EMPLOYER POC CITY | Corbin |
| EMPLOYER POC STATE | KY |
| EMPLOYER POC POSTAL CODE | 40701 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16065269005 |
| EMPLOYER POC PHONE EXT | 6001 |
| EMPLOYER POC EMAIL | michael.stanley@gracehealthky.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Collier |
| AGENT ATTORNEY FIRST NAME | Katherine |
| AGENT ATTORNEY MIDDLE NAME | M. |
| AGENT ATTORNEY ADDRESS1 | 301 East Fourth Street |
| AGENT ATTORNEY ADDRESS2 | Suite 3300 |
| AGENT ATTORNEY CITY | Cincinnati |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 45202 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15136516721 |
| AGENT ATTORNEY EMAIL ADDRESS | kcollier@fbtlaw.com |
| LAWFIRM NAME BUSINESS NAME | Frost Brown Todd LLP |
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | Supreme Court of Ohio |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 57 Summit Drive |
| LCA CASE WORKLOC1 CITY | Corbin |
| WORKSITE COUNTY | WHITLEY |
| LCA CASE WORKLOC1 STATE | KY |
| WORKSITE POSTAL CODE | 40701 |
| LCA CASE WAGE RATE FROM | 274700 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208354 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 3 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Brown |
| PREPARER FIRST NAME | Carmen |
| PREPARER BUSINESS NAME | Frost Brown Todd LLP |
| PREPARER EMAIL | cbrown@fbtlaw.com |
