| LCA CASE NUMBER | I-200-24298-429711 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2024-10-24 |
| DECISION DATE | 2024-10-31 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician |
| SOC CODE | 29-1216 |
| SOC TITLE | General Internal Medicine Physicians |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2024-11-01 |
| END DATE | 2027-10-31 |
| 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 | Provider Health Group, LLC |
| TRADE NAME DBA | Nurse Practitioner Health Services, LLC |
| EMPLOYER ADDRESS1 | 15400 Pearl Rd. |
| EMPLOYER ADDRESS2 | Suite 238 |
| EMPLOYER CITY | Strongsville |
| EMPLOYER STATE | OH |
| EMPLOYER POSTAL CODE | 44136 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14408791108 |
| EMPLOYER FEIN | 45-4366630 |
| NAICS CODE | 621399 |
| EMPLOYER POC LAST NAME | Johnson |
| EMPLOYER POC FIRST NAME | Ashley |
| EMPLOYER POC JOB TITLE | Chief Operating Officer |
| EMPLOYER POC ADDRESS1 | 15400 Pearl Rd. |
| EMPLOYER POC ADDRESS2 | Suite 238 |
| EMPLOYER POC CITY | Strongsville |
| EMPLOYER POC STATE | OH |
| EMPLOYER POC POSTAL CODE | 44136 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14408791108 |
| EMPLOYER POC EMAIL | Office@nphealthservices.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Jolic |
| AGENT ATTORNEY FIRST NAME | Michael |
| AGENT ATTORNEY MIDDLE NAME | M. |
| AGENT ATTORNEY ADDRESS1 | 16959 Bernardo Center Drive |
| AGENT ATTORNEY ADDRESS2 | Suite 104 |
| AGENT ATTORNEY CITY | San Diego |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 92128 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18582586588 |
| AGENT ATTORNEY EMAIL ADDRESS | michael@mjbimmigration.com |
| LAWFIRM NAME BUSINESS NAME | Martin Jolic and Associates, LLC |
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | Rocky River Gardens Rehabilitation and Nursing Center |
| WORKSITE ADDRESS1 | 4102 Rocky River Dr. |
| LCA CASE WORKLOC1 CITY | Cleveland |
| WORKSITE COUNTY | CUYAHOGA |
| LCA CASE WORKLOC1 STATE | OH |
| WORKSITE POSTAL CODE | 44135 |
| LCA CASE WAGE RATE FROM | 150 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 98.6 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| TOTAL WORKSITE LOCATIONS | 7 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |