| CASE NUMBER | I-200-24356-565751 |
| CASE STATUS | Certified |
| RECEIVED DATE | 12/20/2024 |
| DECISION DATE | 12/31/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Acute Care Registered Nurse (Educational Preceptor) |
| SOC CODE | 29-1141.01 |
| SOC TITLE | Acute Care Nurses |
| FULL TIME POSITION | Y |
| BEGIN DATE | 1/15/2025 |
| END DATE | 1/14/2028 |
| 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 | Idaho Healthcare Institute |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 850 Energy Place |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Idaho Falls |
| EMPLOYER STATE | ID |
| EMPLOYER POSTAL CODE | 83401 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 12085208262 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 923110 |
| EMPLOYER POC LAST NAME | Wilson |
| EMPLOYER POC FIRST NAME | Leslie |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Executive Director |
| EMPLOYER POC ADDRESS1 | 850 Energy Place |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Idaho Falls |
| EMPLOYER POC STATE | ID |
| EMPLOYER POC POSTAL CODE | 83401 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 12085208262 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | lwilson3@mvhospital.net |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Batrakova |
| AGENT ATTORNEY FIRST NAME | Irina |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 4949 Meadows Rd., Ste. 600 |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | Lake Oswego |
| AGENT ATTORNEY STATE | OR |
| AGENT ATTORNEY POSTAL CODE | 97035 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 15032102249 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | ibatrakova@batrakovalaw.com |
| LAWFIRM NAME BUSINESS NAME | The Batrakova Law Office |
| STATE OF HIGHEST COURT | OR |
| NAME OF HIGHEST STATE COURT | Supreme Court of Oregon |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | Yes |
| SECONDARY ENTITY BUSINESS NAME | Idaho Falls Community Hospital |
| WORKSITE ADDRESS1 | 2327 Coronado Street |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Idaho Falls |
| WORKSITE COUNTY | BONNEVILLE |
| WORKSITE STATE | ID |
| WORKSITE POSTAL CODE | 83404 |
| WAGE RATE OF PAY FROM | $39.77 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Hour |
| PREVAILING WAGE | $39.77 |
| PW UNIT OF PAY | Hour |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | IV |
| 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 | 2025-01-15 |
