| LCA CASE NUMBER | I-203-21166-400485 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-06-15 |
| DECISION DATE | 2021-06-23 |
| VISA CLASS | E-3 Australian |
| LCA CASE JOB TITLE | OCCUPATIONAL THERAPIST |
| SOC CODE | 29-1122.00 |
| SOC TITLE | Occupational Therapists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-06-21 |
| END DATE | 2023-05-31 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | OWEN HEALTHCARE LLC |
| TRADE NAME DBA | CROSSROADS HOME HEALTH AND HOSPICE |
| EMPLOYER ADDRESS1 | 1109 VINCENTE STREET |
| EMPLOYER ADDRESS2 | SUITE 101 |
| EMPLOYER CITY | SAN FRANCISCO |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94116 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14156822111 |
| NAICS CODE | 621610 |
| EMPLOYER POC LAST NAME | LESA |
| EMPLOYER POC FIRST NAME | MAIRA |
| EMPLOYER POC MIDDLE NAME | JAN |
| EMPLOYER POC JOB TITLE | HR MANAGER |
| EMPLOYER POC ADDRESS 1 | 1881 WEST TRAVERS PARKWAY |
| EMPLOYER POC ADDRESS 2 | SUITE 112 |
| EMPLOYER POC CITY | LEHI |
| EMPLOYER POC STATE | UT |
| EMPLOYER POC POSTAL CODE | 84043 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18014273959 |
| EMPLOYER POC EMAIL | MLESA@IMPACTHC.ORG |
| AGENT REPRESENTING EMPLOYER | False |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1109 VINCENT ST |
| WORKSITE ADDRESS2 | SUIT 101 |
| LCA CASE WORKLOC1 CITY | SAN FRANCISCO |
| WORKSITE COUNTY | ALAMEDA |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 94116 |
| LCA CASE WAGE RATE FROM | 3177.6 |
| LCA CASE WAGE RATE TO | 47555.58 |
| LCA CASE WAGE RATE UNIT | Bi-Weekly |
| PREVAILING WAGE | 3177.6 |
| PW UNIT OF PAY | Bi-Weekly |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | LESA |
| PREPARER FIRST NAME | MAIRA |
| PREPARER MIDDLE INITIAL | JAN |
| PREPARER BUSINESS NAME | IMPACT HEALTHCARE |
| PREPARER EMAIL | MLESA@IMPACTHC.ORG |
