| CASE NUMBER | I-200-24351-546152 |
| CASE STATUS | Certified |
| RECEIVED DATE | 12/16/2024 |
| DECISION DATE | 12/23/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Nephrologist |
| SOC CODE | 29-1229.00 |
| SOC TITLE | Physicians, All Other |
| FULL TIME POSITION | Y |
| BEGIN DATE | 6/15/2025 |
| END DATE | 6/14/2028 |
| 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 | South Carolina Nephrology and Hypertension Center, Inc. |
| TRADE NAME DBA | South Carolina Nephrology and Hypertension Center |
| EMPLOYER ADDRESS1 | 3709 Magnolia Street |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Orangeburg |
| EMPLOYER STATE | SC |
| EMPLOYER POSTAL CODE | 29118 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 18035312220 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Delbridge |
| EMPLOYER POC FIRST NAME | Jean |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Chief Talent Officer |
| EMPLOYER POC ADDRESS1 | 512 Autumn Springs Court |
| EMPLOYER POC ADDRESS2 | Suite D |
| EMPLOYER POC CITY | Franklin |
| EMPLOYER POC STATE | TN |
| EMPLOYER POC POSTAL CODE | 37067 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 16158098244 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | JDelbridge@renalcare360.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Kelly |
| AGENT ATTORNEY FIRST NAME | Dayna |
| AGENT ATTORNEY MIDDLE NAME | Jo |
| AGENT ATTORNEY ADDRESS1 | 101 Two Hills Drive |
| AGENT ATTORNEY ADDRESS2 | Suite 220 |
| AGENT ATTORNEY CITY | Carrboro |
| AGENT ATTORNEY STATE | NC |
| AGENT ATTORNEY POSTAL CODE | 27510 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 19199697200 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | INFO@DKELLY.COM |
| LAWFIRM NAME BUSINESS NAME | Law Offices of Dayna Kelly, PC |
| STATE OF HIGHEST COURT | NC |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | Yes |
| SECONDARY ENTITY BUSINESS NAME | Davita “ North Orangeburg |
| WORKSITE ADDRESS1 | 124 Fire Tower Road |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Orangeburg |
| WORKSITE COUNTY | ORANGEBURG |
| WORKSITE STATE | SC |
| WORKSITE POSTAL CODE | 29118 |
| WAGE RATE OF PAY FROM | $297,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $109,928.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 3 |
| 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 | 2025-06-15 |
