| CASE NUMBER | I-200-24036-693004 |
| CASE STATUS | Certified |
| RECEIVED DATE | 2/5/2024 |
| DECISION DATE | 2/12/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Occupational Therapist |
| SOC CODE | 29-1122.00 |
| SOC TITLE | Occupational Therapists |
| FULL TIME POSITION | Y |
| BEGIN DATE | 2/10/2024 |
| END DATE | 9/30/2025 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| EMPLOYER NAME | Cosmic Healthcare, LLC |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 23099 Red Sunset Place |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Aldie |
| EMPLOYER STATE | VA |
| EMPLOYER POSTAL CODE | 20105 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 15712447704 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 56131 |
| EMPLOYER POC LAST NAME | Challapalli |
| EMPLOYER POC FIRST NAME | Srinivasa |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Account Manager |
| EMPLOYER POC ADDRESS1 | 23099 Red Sunset Place |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Aldie |
| EMPLOYER POC STATE | VA |
| EMPLOYER POC POSTAL CODE | 20105 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 15712447704 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | info@cosmichealthcare.us |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Dawson |
| AGENT ATTORNEY FIRST NAME | John |
| AGENT ATTORNEY MIDDLE NAME | Spencer |
| AGENT ATTORNEY ADDRESS1 | 302 West Third Street |
| AGENT ATTORNEY ADDRESS2 | Suite 710 |
| AGENT ATTORNEY CITY | Cincinnati |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 45202 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 15133818472 |
| AGENT ATTORNEY PHONE EXT | 93 |
| AGENT ATTORNEY EMAIL ADDRESS | john.dawson@muimmigration.com |
| LAWFIRM NAME BUSINESS NAME | MusilloUnkenholt, LLC |
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | Yes |
| SECONDARY ENTITY BUSINESS NAME | Hyattsville Nursing and Rehabilitation Center |
| WORKSITE ADDRESS1 | 6500 Riggs Road |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Hyattsville |
| WORKSITE COUNTY | PRINCE GEORGE'S |
| WORKSITE STATE | MD |
| WORKSITE POSTAL CODE | 20783 |
| WAGE RATE OF PAY FROM | 35.37 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Hour |
| PREVAILING WAGE | $35.37 |
| PW UNIT OF PAY | Hour |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Yes |
| H 1B DEPENDENT | Yes |
| WILLFUL VIOLATOR | No |
| SUPPORT H1B | Yes |
| STATUTORY BASIS | $60,000 or higher annual wage |
| APPENDIX A ATTACHED | N/A |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Belcher |
| PREPARER FIRST NAME | Joshua |
| PREPARER MIDDLE INITIAL | K |
| PREPARER BUSINESS NAME | Musillo Unkenholt, LLC |
| PREPARER EMAIL | joshua.belcher@muimmigration.com |
| BEGIN DATE CONVERTED | 2024-10-02 |
