\ H1B CASE NUMBER I-200-25157-064805



CASE NUNBER: I-200-25157-064805

LCA CASE NUMBERI-200-25157-064805
STATUSCertified
LCA CASE SUBMIT2025-06-06
DECISION DATE2025-06-13
VISA CLASSH-1B
LCA CASE JOB TITLERegistered Nurse
SOC CODE29-1141
SOC TITLERegistered Nurses
FULL TIME POSITIONTrue
LCA CASE EMPLOYMENT START DATE2025-06-10
END DATE2028-06-09
TOTAL WORKER POSITIONS1
NEW EMPLOYMENT1
CONTINUED EMPLOYMENT0
CHANGE PREVIOUS EMPLOYMENT0
NEW CONCURRENT EMPLOYMENT0
CHANGE EMPLOYER0
AMENDED PETITION0
LCA CASE EMPLOYER NAMESun Haven Care Inc
TRADE NAME DBATerrace View Care Center
EMPLOYER ADDRESS1201 E Bastanchury Rd
EMPLOYER CITYFullerton
EMPLOYER STATECA
EMPLOYER POSTAL CODE92835
EMPLOYER COUNTRYUNITED STATES OF AMERICA
EMPLOYER PHONE17148700060
EMPLOYER FEIN33-0743732
NAICS CODE623110
EMPLOYER POC LAST NAMEDahl
EMPLOYER POC FIRST NAMEBrenden
EMPLOYER POC JOB TITLEAdministrator
EMPLOYER POC ADDRESS1201 E Bastanchury Rd
EMPLOYER POC CITYFullerton
EMPLOYER POC STATECA
EMPLOYER POC POSTAL CODE92835
EMPLOYER POC COUNTRYUNITED STATES OF AMERICA
EMPLOYER POC PHONE17148700060
EMPLOYER POC EMAILBDahl@nahsse.com
AGENT REPRESENTING EMPLOYERTrue
AGENT ATTORNEY LAST NAMEMedina
AGENT ATTORNEY FIRST NAMECharles
AGENT ATTORNEY ADDRESS12501 E Chapman Ave.
AGENT ATTORNEY ADDRESS2Ste 285
AGENT ATTORNEY CITYFullerton
AGENT ATTORNEY STATECA
AGENT ATTORNEY POSTAL CODE92831
AGENT ATTORNEY COUNTRYUNITED STATES OF AMERICA
AGENT ATTORNEY PHONE17147866835
AGENT ATTORNEY EMAIL ADDRESScharles@medinalawgroup.net
LAWFIRM NAME BUSINESS NAMELaw Office of Charles Medina
STATE OF HIGHEST COURTNY
NAME OF HIGHEST STATE COURTSupreme Court
WORKSITE WORKERS1
SECONDARY ENTITYFalse
WORKSITE ADDRESS1201 E Bastanchury Rd
LCA CASE WORKLOC1 CITYFullerton
WORKSITE COUNTYORANGE
LCA CASE WORKLOC1 STATECA
WORKSITE POSTAL CODE92835
LCA CASE WAGE RATE FROM34.68
LCA CASE WAGE RATE TO35
LCA CASE WAGE RATE UNITHour
PREVAILING WAGE34.68
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 Employment
PREPARER LAST NAMEMedina
PREPARER FIRST NAMECharles
PREPARER BUSINESS NAMELaw Office of Charles Medina
PREPARER EMAILcharles@medinalawgroup.net