| CASE NUMBER | I-200-24205-215609 |
| CASE STATUS | Certified |
| RECEIVED DATE | 7/23/2024 |
| DECISION DATE | 7/30/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Hospitalist Physician |
| SOC CODE | 29-1229.02 |
| SOC TITLE | Hospitalists |
| FULL TIME POSITION | Y |
| BEGIN DATE | 9/1/2024 |
| END DATE | 8/30/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | H2 Hospital Associates LLC |
| TRADE NAME DBA | HHA Hospital Medicine |
| EMPLOYER ADDRESS1 | 4960 SW 72nd Ave. |
| EMPLOYER ADDRESS2 | Ste. 301 |
| EMPLOYER CITY | Miami |
| EMPLOYER STATE | FL |
| EMPLOYER POSTAL CODE | 33155 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +18778322652 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Simon |
| EMPLOYER POC FIRST NAME | Andrea |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Director of Operations |
| EMPLOYER POC ADDRESS1 | 1521 S. Staples St |
| EMPLOYER POC ADDRESS2 | Ste. 606 |
| EMPLOYER POC CITY | Corpus Christi |
| EMPLOYER POC STATE | TX |
| EMPLOYER POC POSTAL CODE | 78404 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +12102327560 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | ASimon@H2HospitalAssociates.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Nguyen |
| AGENT ATTORNEY FIRST NAME | Thu |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 2901 W. Parker Road, Box 864259 |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | Plano |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 75023-9998 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +19726855660 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | thu@nguyenimmigration.com |
| LAWFIRM NAME BUSINESS NAME | Law Office of Thu Nguyen, PLLC |
| STATE OF HIGHEST COURT | TX |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | Yes |
| SECONDARY ENTITY BUSINESS NAME | Jackson Memorial Hospital |
| WORKSITE ADDRESS1 | 1611 NW 12th Ave |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Miami |
| WORKSITE COUNTY | MIAMI-DADE |
| WORKSITE STATE | FL |
| WORKSITE POSTAL CODE | 33136 |
| WAGE RATE OF PAY FROM | 240,240.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $239,200.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | N/A |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Yes |
| H 1B DEPENDENT | No |
| WILLFUL VIOLATOR | No |
| SUPPORT H1B | N/A |
| STATUTORY BASIS | |
| APPENDIX A ATTACHED | N/A |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2024-01-09 |
