\ H1B CASE NUMBER I-200-24309-451767



CASE NUNBER: I-200-24309-451767

LCA CASE NUMBERI-200-24309-451767
STATUSCertified
LCA CASE SUBMIT2024-11-04
DECISION DATE2024-11-12
VISA CLASSH-1B
LCA CASE JOB TITLEPrincipal Service Engineer IS
SOC CODE15-1252
SOC TITLESoftware Developers
FULL TIME POSITIONTrue
LCA CASE EMPLOYMENT START DATE2025-03-14
END DATE2028-03-13
TOTAL WORKER POSITIONS1
NEW EMPLOYMENT0
CONTINUED EMPLOYMENT1
CHANGE PREVIOUS EMPLOYMENT0
NEW CONCURRENT EMPLOYMENT0
CHANGE EMPLOYER0
AMENDED PETITION0
LCA CASE EMPLOYER NAMEProvidence Health & Services
EMPLOYER ADDRESS11801 Lind Ave SW, Morin Building
EMPLOYER ADDRESS21st Floor
EMPLOYER CITYRenton
EMPLOYER STATEWA
EMPLOYER POSTAL CODE98057
EMPLOYER COUNTRYUNITED STATES OF AMERICA
EMPLOYER PHONE14256156359
EMPLOYER FEIN91-0725998
NAICS CODE622110
EMPLOYER POC LAST NAMEJeanes
EMPLOYER POC FIRST NAMEMaria
EMPLOYER POC MIDDLE NAMESalazar
EMPLOYER POC JOB TITLEIn-House Immigration Counsel
EMPLOYER POC ADDRESS11801 Lind Ave SW Morin Building
EMPLOYER POC ADDRESS21st Floor
EMPLOYER POC CITYRenton
EMPLOYER POC STATEWA
EMPLOYER POC POSTAL CODE98057
EMPLOYER POC COUNTRYUNITED STATES OF AMERICA
EMPLOYER POC PHONE14256156359
EMPLOYER POC EMAILmaria.jeanes@providence.org
AGENT REPRESENTING EMPLOYERFalse
WORKSITE WORKERS1
SECONDARY ENTITYFalse
WORKSITE ADDRESS117425 NE Union Hill Rd, Bldg B, Ste. 110
LCA CASE WORKLOC1 CITYRedmond
WORKSITE COUNTYKING
LCA CASE WORKLOC1 STATEWA
WORKSITE POSTAL CODE98082
LCA CASE WAGE RATE FROM124738
LCA CASE WAGE RATE TO200000
LCA CASE WAGE RATE UNITYear
PREVAILING WAGE124738
PW UNIT OF PAYYear
PW WAGE LEVELIII
PW OES YEAR7/1/2024 - 6/30/2025
TOTAL WORKSITE LOCATIONS2
AGREE TO LC STATEMENTTrue
H 1B DEPENDENTFalse
WILLFUL VIOLATORFalse
PUBLIC DISCLOSUREDisclose Business