| LCA CASE NUMBER | I-200-23109-948873 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-04-19 |
| DECISION DATE | 2023-04-26 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Occupational Therapist |
| SOC CODE | 29-1122.00 |
| SOC TITLE | Occupational Therapists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-10-01 |
| END DATE | 2026-09-30 |
| 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 | San Mateo Healthcare & Wellness Centre, LP |
| TRADE NAME DBA | Burlingame Skilled Nursing |
| EMPLOYER ADDRESS1 | 1100 Trousdale Dr. |
| EMPLOYER CITY | Burlingame |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94010 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16506923758 |
| NAICS CODE | 623110 |
| EMPLOYER POC LAST NAME | Wood |
| EMPLOYER POC FIRST NAME | Thomas |
| EMPLOYER POC JOB TITLE | Interim Administrator |
| EMPLOYER POC ADDRESS1 | 1100 Trousdale Dr. |
| EMPLOYER POC CITY | Burlingame |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94010 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15106845633 |
| EMPLOYER POC EMAIL | twood@snfoperations.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Hoballah |
| AGENT ATTORNEY FIRST NAME | Wafa |
| AGENT ATTORNEY ADDRESS1 | 1901 Avenue of the Stars |
| AGENT ATTORNEY ADDRESS2 | Suite 200 |
| AGENT ATTORNEY CITY | Los Angeles |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 90067 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13102776953 |
| AGENT ATTORNEY EMAIL ADDRESS | wafa@wjhlawgroup.com |
| LAWFIRM NAME BUSINESS NAME | WJH Law Group APC |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Appeal Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1100 Trousdale Dr |
| LCA CASE WORKLOC1 CITY | Burlingame |
| WORKSITE COUNTY | SAN MATEO |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 94010 |
| LCA CASE WAGE RATE FROM | 47.22 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 47.22 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
