| LCA CASE NUMBER | I-200-23131-013085 |
| STATUS | Withdrawn |
| LCA CASE SUBMIT | 2023-05-11 |
| DECISION DATE | 2023-05-11 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Subacute Care Nurse |
| SOC CODE | 29-1141.00 |
| SOC TITLE | Registered Nurses |
| 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 | FAIRFAX OPERATOR LLC |
| TRADE NAME DBA | Fairfax Nursing Center |
| EMPLOYER ADDRESS1 | 10701 Main St |
| EMPLOYER CITY | Fairfax |
| EMPLOYER STATE | VA |
| EMPLOYER POSTAL CODE | 22030 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17032737705 |
| NAICS CODE | 623110 |
| EMPLOYER POC LAST NAME | Neiswanger |
| EMPLOYER POC FIRST NAME | Craig |
| EMPLOYER POC MIDDLE NAME | William |
| EMPLOYER POC JOB TITLE | Chief Operating Officer |
| EMPLOYER POC ADDRESS1 | 400 Boulevard of the Americas |
| EMPLOYER POC CITY | Lakewood |
| EMPLOYER POC STATE | NJ |
| EMPLOYER POC POSTAL CODE | 08701 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12022581542 |
| EMPLOYER POC EMAIL | CNeiswanger@vitahcg.com |
| AGENT REPRESENTING EMPLOYER | False |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 10701 MAIN STREET |
| LCA CASE WORKLOC1 CITY | FAIRFAX |
| WORKSITE COUNTY | FAIRFAX |
| LCA CASE WORKLOC1 STATE | VA |
| WORKSITE POSTAL CODE | 22030 |
| LCA CASE WAGE RATE FROM | 68000 |
| LCA CASE WAGE RATE TO | 80000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 66997 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| 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 Employment |
