| CASE NUMBER | I-200-24290-411979 |
| CASE STATUS | Certified |
| RECEIVED DATE | 10/16/2024 |
| DECISION DATE | 10/23/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Physical Therapist |
| SOC CODE | 29-1141.00 |
| SOC TITLE | Registered Nurses |
| FULL TIME POSITION | N |
| BEGIN DATE | 1/2/2025 |
| END DATE | 1/1/2028 |
| 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 | Adventist HealthCare, Inc. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 820 W. Diamond Ave. |
| EMPLOYER ADDRESS2 | Suite 600 |
| EMPLOYER CITY | Gaithersburg |
| EMPLOYER STATE | MD |
| EMPLOYER POSTAL CODE | 20878 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 13013153402 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 62211 |
| EMPLOYER POC LAST NAME | Vargas |
| EMPLOYER POC FIRST NAME | Carlos |
| EMPLOYER POC MIDDLE NAME | A. |
| EMPLOYER POC JOB TITLE | Vice President, Human Resources and Technology |
| EMPLOYER POC ADDRESS1 | 820 W Diamond Avenue |
| EMPLOYER POC ADDRESS2 | Suite 600 |
| EMPLOYER POC CITY | Gaithersburg |
| EMPLOYER POC STATE | MD |
| EMPLOYER POC POSTAL CODE | 20878 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 13013153402 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | cvargas@adventisthealthcare.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Robinson Kirlew |
| AGENT ATTORNEY FIRST NAME | Myrtle |
| AGENT ATTORNEY MIDDLE NAME | C |
| AGENT ATTORNEY ADDRESS1 | 7731 Belle Point Drive |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | Greenbelt |
| AGENT ATTORNEY STATE | MD |
| AGENT ATTORNEY POSTAL CODE | 20770 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 13016143330 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | myrtle@robinsonkirlew.com |
| LAWFIRM NAME BUSINESS NAME | Robinson Kirlew & Associates, P.C. |
| STATE OF HIGHEST COURT | MD |
| NAME OF HIGHEST STATE COURT | Maryland Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 11711 Livingston Road |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Fort Washington |
| WORKSITE COUNTY | PRINCE GEORGE'S |
| WORKSITE STATE | MD |
| WORKSITE POSTAL CODE | 20744 |
| WAGE RATE OF PAY FROM | $52.99 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Hour |
| PREVAILING WAGE | $47.54 |
| PW UNIT OF PAY | Hour |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | III |
| 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 | Robinson Kirlew |
| PREPARER FIRST NAME | Myrtle |
| PREPARER MIDDLE INITIAL | C |
| PREPARER BUSINESS NAME | Robinson Kirlew & Associates, P.C. |
| PREPARER EMAIL | myrtle@robinsonkirlew.com |
| BEGIN DATE CONVERTED | 2025-01-02 |
