| CASE NUMBER | I-200-23284-424151 |
| CASE STATUS | Certified |
| RECEIVED DATE | 10/11/2023 |
| DECISION DATE | 10/18/2023 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Intensive Care Critical Care Registered Nurse |
| SOC CODE | 29-1141.03 |
| SOC TITLE | Critical Care Nurses |
| FULL TIME POSITION | Y |
| BEGIN DATE | 1/2/2024 |
| END DATE | 1/1/2027 |
| 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 | FLINT HEALTHCARE INC. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 2261 Market Street |
| EMPLOYER ADDRESS2 | #4749 |
| EMPLOYER CITY | SAN FRANCISCO |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94114 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 18554900402 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 51919 |
| EMPLOYER POC LAST NAME | PRIGGE |
| EMPLOYER POC FIRST NAME | NEIL |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | SENIOR OPERATIONS MANAGER |
| EMPLOYER POC ADDRESS1 | 2261 MARKET STREET |
| EMPLOYER POC ADDRESS2 | #4749 |
| EMPLOYER POC CITY | SAN FRANCISCO |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94114 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 14157077790 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | neil@withflint.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | BHAGAT |
| AGENT ATTORNEY FIRST NAME | POOJA |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 6412 BRANDON AVENUE |
| AGENT ATTORNEY ADDRESS2 | #273 |
| AGENT ATTORNEY CITY | SPRINGFIELD |
| AGENT ATTORNEY STATE | VA |
| AGENT ATTORNEY POSTAL CODE | 22150 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 15712068048 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | POOJA@BHAGATLAWFIRM.COM |
| LAWFIRM NAME BUSINESS NAME | BHAGAT LAW FIRM |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | NEW YORK STATE |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | Yes |
| SECONDARY ENTITY BUSINESS NAME | Gerald Champion Regional Medical Center |
| WORKSITE ADDRESS1 | 2669 N Scenic Dr |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | ALAMOGORDO |
| WORKSITE COUNTY | OTERO |
| WORKSITE STATE | NM |
| WORKSITE POSTAL CODE | 88310 |
| WAGE RATE OF PAY FROM | 78000 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $70,138.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | II |
| 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 | 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 | 2024-02-01 |
