| CASE NUMBER | I-200-24192-186496 |
| CASE STATUS | Certified |
| RECEIVED DATE | 7/10/2024 |
| DECISION DATE | 7/17/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Neurologist |
| SOC CODE | 29-1217.00 |
| SOC TITLE | Neurologists |
| FULL TIME POSITION | N |
| BEGIN DATE | 8/23/2024 |
| END DATE | 9/30/2025 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Faith Regional Physician Services, LLC |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 110 N. 29th Street |
| EMPLOYER ADDRESS2 | Suite 201 |
| EMPLOYER CITY | Norfolk |
| EMPLOYER STATE | NE |
| EMPLOYER POSTAL CODE | 68701 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +14028448385 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Pieper |
| EMPLOYER POC FIRST NAME | Marcia |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | VP Administrative Assistant |
| EMPLOYER POC ADDRESS1 | 110 North 29th Street |
| EMPLOYER POC ADDRESS2 | Suite 201 |
| EMPLOYER POC CITY | Norfolk |
| EMPLOYER POC STATE | NE |
| EMPLOYER POC POSTAL CODE | 68701 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +14028448385 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | mkpieper@frhs.org |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Fleming |
| AGENT ATTORNEY FIRST NAME | T. Mills |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 200 East Saint Julian Street |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | Savannah |
| AGENT ATTORNEY STATE | GA |
| AGENT ATTORNEY POSTAL CODE | 31401 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +19122360261 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | mfleming@huntermaclean.com |
| LAWFIRM NAME BUSINESS NAME | Hunter Maclean Exley & Dunn PC |
| STATE OF HIGHEST COURT | GA |
| NAME OF HIGHEST STATE COURT | U.S. District Court For Southern District of Georgia |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 4294 Fox Ridge Drive |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Batavia |
| WORKSITE COUNTY | CLERMONT |
| WORKSITE STATE | OH |
| WORKSITE POSTAL CODE | 45103 |
| WAGE RATE OF PAY FROM | 164.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $250.00 |
| WAGE UNIT OF PAY | Hour |
| PREVAILING WAGE | $115.00 |
| PW UNIT OF PAY | Hour |
| 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 | Russell |
| PREPARER FIRST NAME | Mary |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | Hunter, Maclean, Exley & Dunn, P.C. |
| PREPARER EMAIL | mrussell@huntermaclean.com |
| BEGIN DATE CONVERTED | 2025-11-08 |
