| LCA CASE NUMBER | I-200-25209-204836 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2025-07-28 |
| DECISION DATE | 2025-08-04 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Nursing Quality,Safety & Nurse Assistant Manager |
| SOC CODE | 29-1141.00 |
| SOC TITLE | Registered Nurses |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2025-08-15 |
| END DATE | 2028-08-14 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | SULLIVAN COUNTY MEMORIAL HOSPITAL |
| EMPLOYER ADDRESS1 | 630 West 3rd Street |
| EMPLOYER CITY | Milan |
| EMPLOYER STATE | MO |
| EMPLOYER POSTAL CODE | 63556 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16602654212 |
| EMPLOYER FEIN | 44-6005595 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | DE LEON |
| EMPLOYER POC FIRST NAME | ROSA |
| EMPLOYER POC JOB TITLE | HR DIRECTOR |
| EMPLOYER POC ADDRESS1 | 630 West 3rd Street |
| EMPLOYER POC CITY | Milan |
| EMPLOYER POC STATE | MO |
| EMPLOYER POC POSTAL CODE | 63556 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16602654212 |
| EMPLOYER POC PHONE EXT | 648 |
| EMPLOYER POC EMAIL | rosaleon@scmhospital.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | DOMINGO |
| AGENT ATTORNEY FIRST NAME | REGINA |
| AGENT ATTORNEY MIDDLE NAME | D |
| AGENT ATTORNEY ADDRESS1 | 20310 Brook Run Place |
| AGENT ATTORNEY CITY | Germantown |
| AGENT ATTORNEY STATE | MD |
| AGENT ATTORNEY POSTAL CODE | 20876 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12404231849 |
| AGENT ATTORNEY EMAIL ADDRESS | regina@myimmigrationcounselor.com |
| LAWFIRM NAME BUSINESS NAME | LAW OFFICE OF REGINA D. DOMINGO,LLC |
| LAWFIRM BUSINESS FEIN | 46-0691626 |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | APPELLATE COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 630 West 3rd Street |
| LCA CASE WORKLOC1 CITY | Milan |
| LCA CASE WORKLOC1 STATE | MO |
| WORKSITE POSTAL CODE | 63556 |
| LCA CASE WAGE RATE FROM | 27.38 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 27.38 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2025 - 6/30/2026 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Employment |