Fiscal Year

2023

Case Number

A-22136-56078

Case Status

Certified

Received Date

2022-06-10

Decision Date

2023-02-27

Refile

N

Original File Date

2023-01-01 08:04:56

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

HARTFORD HEALTHCARE MEDICAL GROUP

Employer Name Slug

hartford-healthcare-medical-group

Employer Address 1

1290 SILAS DEANE HIGHWAY

Employer Address 2

2ND FLOOR

Employer City

WETHERSFIELD

Employer City Slug

wethersfield

Employer State

CONNECTICUT

Employer State Slug

connecticut

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

6109

Employer Phone

8609729044

Employer Number of Employees

3984

Employer Year Commenced Business

2012

NAICS Code

62111

FW Ownership Interest

N

Employer Contact Name

Christine Dilly

Employer Contact Address 1

1290 Silas Deane Highway

Employer Contact Address 2

2nd Floor

Employer Contact City

Wethersfield

Employer Contact State/Province

CONNECTICUT

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

6109

Employer Contact Phone

8609727922

Employer Contact Email

Christine.Dilly@hhchealth.org

Agent Attorney Name

Michael L Kim

Agent Attorney Firm Name

Hall Render Killian Heath Lyman, P.C.

Agent Attorney Phone

(317) 977-1418

Agent Attorney Address 1

500 North Meridian Street

Agent Attorney Address 2

Suite 400

Agent Attorney City

Indianapolis

Agent Attorney State/Province

INDIANA

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

46204

Agent Attorney Email

mkim@hallrender.com

PW Track Number

P10021259587634

PW SOC Code

29-1063

PW SOC Title

Internists, General

PW Skill Level

Level II

PW Wage

185598.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2022-03-18

PW Expiration Date

2022-06-30

Wage Offer From

230000.00

Wage Offer To

250000.00

Average Salary

240000.00

Wage Unit of Pay

Year

Worksite Address 1

462 Queen Street

Worksite Address 2

Worksite City

Southington

Worksite City Slug

southington

Worksite State

CONNECTICUT

Worksite Postal Code

6489

Job Title

Physician (Geriatric Medicine)

Job Title Slug

physician-geriatric-medicine

Minimum Education

Other

Major Field of Study

Medicine

Required Training

N

Required Experience

N

Required Experience Months

Accept Alternative Field of Study

N

Accept Alternative Major Field of Study

Accept Alternative Combination

N

Accept Alternative Combination Education

Accept Alternative Combination Education Years

Accept Foreign Education

Y

Accept Alternative Occupation

N

Accept Alternative Occupation Months

Accept Alternative Job Title

Job Opportunity Requirements Normal

Y

Foreign Language Required

N

Specific Skills

Doctor of Medicine degree M.D., Doctor of Osteopathic Medicine degree D.O. or the foreign equivalent; Completion of a U.S. medical fellowship program in Geriatric Medicine; Board Certified or Board Eligible in Geriatric Medicine; Connecticut Physician license.br br Position will perform services atbr br Hartford HealthCare Health Center Southington, 462 Queen Street, Southington, CT 06489br Amberwoods of Farmington, 416 Colt Hwy., Farmington, CT 06032br Touchpoints Rehab at Farmington, 20 Scott Swamp Road, Farmington, CT 06032

Combination Occupation

N

Offered to Applicant Foreign Worker

Y

Foreign Worker Live on Premises

N

Foreign Worker Live in Domestic Service

N

Foreign Worker Live in Domestic Service Count

Professional Occupation

Y

Application for College/University Teacher

N

SWA Job Order Start Date

2022-02-17

SWA Job Order End Date

2022-03-21

Sunday Edition Newspaper

Y

First Newspaper Name

Hartford Courant

First Advertisement Start Date

2022-02-20

Second Newspaper Ad Name

Hartford Courant

Second Advertisement Type

Newspaper

Second Ad Start Date

2022-02-27

Employer Website From Date

2023-01-01 08:04:56

Employer Website To Date

2023-01-01 08:04:56

Professional Organization Ad From Date

2022-03-15

Professional Organization Advertisement To Date

2022-03-15

Job Search Website From Date

2022-02-20

Job Search Website To Date

2022-03-21

Employee Referral Program From Date

2023-01-01 08:04:56

Employee Referral Program To Date

2023-01-01 08:04:56

Local Ethnic Paper From Date

2023-01-01 08:04:56

Local Ethnic Paper To Date

2023-01-01 08:04:56

Radio/TV Ad From Date

2022-03-24

Radio/TV Ad To Date

2022-03-24

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

INDIA

Foreign Worker Birth Country

INDIA

Class of Admission

H-1B

Foreign Worker Education

Other

Foreign Worker Information: Major

MEDICINE AND SURGERY

Foreign Worker Years of Education Completed

2004

Foreign Worker Institution of Education

MANIPAL ACADEMY OF HIGHER EDUCATION

Foreign Worker Education Institution Address 1

KASTURBA MEDICAL COLLEGE

Foreign Worker Education Institution Address 2

TIGER CIRCLE ROAD, MADHAV NAGAR

Foreign Worker Education Institution City

MANIPAL

Foreign Worker Education Institution State/Province

Foreign Worker Education Institution Country

INDIA

Foreign Worker Education Institution Postal Code

576104

Foreign Worker Experience with Employer

N/A

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

Y

Employer Completed Application

N

Preparer Name

Michael L Kim

Preparer Title

Attorney

Preparer Email

mkim@hallrender.com

Employer Information Declaration Name

Mark Prete

Employer Information Declaration Title

President