\ H1B CASE NUMBER I-200-25154-046169



CASE NUNBER: I-200-25154-046169

LCA CASE NUMBERI-200-25154-046169
STATUSCertified
LCA CASE SUBMIT2025-06-03
DECISION DATE2025-06-10
VISA CLASSH-1B
LCA CASE JOB TITLEMedical and Health Services Manager
SOC CODE11-9111
SOC TITLEMedical and Health Services Managers
FULL TIME POSITIONFalse
LCA CASE EMPLOYMENT START DATE2025-06-03
END DATE2028-06-02
TOTAL WORKER POSITIONS1
NEW EMPLOYMENT0
CONTINUED EMPLOYMENT0
CHANGE PREVIOUS EMPLOYMENT0
NEW CONCURRENT EMPLOYMENT0
CHANGE EMPLOYER1
AMENDED PETITION0
LCA CASE EMPLOYER NAMEHOLY FAMILY LLC
EMPLOYER ADDRESS12850 PARENT AVE
EMPLOYER CITYWARREN
EMPLOYER STATEMI
EMPLOYER POSTAL CODE48092
EMPLOYER COUNTRYUNITED STATES OF AMERICA
EMPLOYER PHONE15862229043
EMPLOYER FEIN81-2743122
NAICS CODE623312
EMPLOYER POC LAST NAMEMANIMALETHU
EMPLOYER POC FIRST NAMETINO
EMPLOYER POC MIDDLE NAMERAJU
EMPLOYER POC JOB TITLEAdministrator/Partner
EMPLOYER POC ADDRESS12850 PARENT AVE,
EMPLOYER POC CITYWARREN
EMPLOYER POC STATEMI
EMPLOYER POC POSTAL CODE48092
EMPLOYER POC COUNTRYUNITED STATES OF AMERICA
EMPLOYER POC PHONE15862229043
EMPLOYER POC EMAILholyfamilymi@gmail.com
AGENT REPRESENTING EMPLOYERTrue
AGENT ATTORNEY LAST NAMEChacko
AGENT ATTORNEY FIRST NAMEMathew
AGENT ATTORNEY MIDDLE NAMEMaryvilla
AGENT ATTORNEY ADDRESS15025 Backlick Rd., Suite C
AGENT ATTORNEY CITYAnnandale
AGENT ATTORNEY STATEVA
AGENT ATTORNEY POSTAL CODE22003
AGENT ATTORNEY COUNTRYUNITED STATES OF AMERICA
AGENT ATTORNEY PHONE17033490881
AGENT ATTORNEY EMAIL ADDRESShelp@chackolawfirm.com
LAWFIRM NAME BUSINESS NAMELaw Offices of Mathew M. Chacko, PC.
STATE OF HIGHEST COURTNY
NAME OF HIGHEST STATE COURTCourt of Appeals
WORKSITE WORKERS1
SECONDARY ENTITYFalse
WORKSITE ADDRESS12850 Parent Ave
LCA CASE WORKLOC1 CITYWarren
WORKSITE COUNTYMACOMB
LCA CASE WORKLOC1 STATEMI
WORKSITE POSTAL CODE48092
LCA CASE WAGE RATE FROM31.58
LCA CASE WAGE RATE UNITHour
PREVAILING WAGE31.58
PW UNIT OF PAYHour
PW WAGE LEVELI
PW OES YEAR7/1/2024 - 6/30/2025
TOTAL WORKSITE LOCATIONS1
AGREE TO LC STATEMENTTrue
H 1B DEPENDENTFalse
WILLFUL VIOLATORFalse
PUBLIC DISCLOSUREDisclose Business