Fiscal Year

2021

Case Number

A-20177-69701

Case Status

Certified-Expired

Received Date

2020-06-25

Decision Date

2021-01-13

Refile

N

Original File Date

2021-01-01 08:57:35

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

Independence Home Healthcare, Inc.

Employer Name Slug

independence-home-healthcare-inc

Employer Address 1

135 W Walnut Street

Employer Address 2

Employer City

Gardena

Employer City Slug

gardena

Employer State

CALIFORNIA

Employer State Slug

california

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

90248

Employer Phone

3105231905

Employer Number of Employees

30

Employer Year Commenced Business

2008

NAICS Code

621610

FW Ownership Interest

N

Employer Contact Name

Jose Vicente Perez

Employer Contact Address 1

135 W Walnut Street

Employer Contact Address 2

Employer Contact City

Gardena

Employer Contact State/Province

CALIFORNIA

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

90248

Employer Contact Phone

3105231905

Employer Contact Email

[email protected]

Agent Attorney Name

Agent Attorney Firm Name

Agent Attorney Phone

Agent Attorney Address 1

Agent Attorney Address 2

Agent Attorney City

Agent Attorney State/Province

Agent Attorney Country

Agent Attorney Postal Code

Agent Attorney Email

PW Track Number

P10019273065500

PW SOC Code

11-9111

PW SOC Title

MEDICAL AND PATIENT COORDINATOR

PW Skill Level

Level I

PW Wage

67496.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2020-01-30

PW Expiration Date

2020-06-30

Wage Offer From

67496.00

Wage Offer To

0.00

Average Salary

67496.00

Wage Unit of Pay

Year

Worksite Address 1

135 WALNUT STREET

Worksite Address 2

Worksite City

GARDENA

Worksite City Slug

gardena

Worksite State

CALIFORNIA

Worksite Postal Code

90248

Job Title

MEDICAL AND PATIENT COORDINATOR

Job Title Slug

medical-and-patient-coordinator

Minimum Education

Other

Major Field of Study

MEDICINE

Required Training

N

Required Experience

Y

Required Experience Months

24

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

NA

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

2020-02-18

SWA Job Order End Date

2020-03-18

Sunday Edition Newspaper

Y

First Newspaper Name

LA TIMES

First Advertisement Start Date

2020-02-16

Second Newspaper Ad Name

LA TIMES

Second Advertisement Type

Newspaper

Second Ad Start Date

2020-03-01

Employer Website From Date

2021-01-01 08:57:35

Employer Website To Date

2021-01-01 08:57:35

Professional Organization Ad From Date

2021-01-01 08:57:35

Professional Organization Advertisement To Date

2021-01-01 08:57:35

Job Search Website From Date

2020-02-16

Job Search Website To Date

2020-03-07

Employee Referral Program From Date

2021-01-01 08:57:35

Employee Referral Program To Date

2021-01-01 08:57:35

Local Ethnic Paper From Date

2020-02-19

Local Ethnic Paper To Date

2020-03-04

Radio/TV Ad From Date

2021-01-01 08:57:35

Radio/TV Ad To Date

2021-01-01 08:57:35

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

PHILIPPINES

Foreign Worker Birth Country

PHILIPPINES

Class of Admission

B-2

Foreign Worker Education

Other

Foreign Worker Information: Major

DOCTOR OF MEDICINE

Foreign Worker Years of Education Completed

2006

Foreign Worker Institution of Education

OUR LADY OF FATIMA UNIVERSITY

Foreign Worker Education Institution Address 1

12O MCARTHUR HIGHWAY

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

VALENZUELA CITY

Foreign Worker Education Institution State/Province

METRO MANILA

Foreign Worker Education Institution Country

PHILIPPINES

Foreign Worker Education Institution Postal Code

Foreign Worker Experience with Employer

N

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

Y

Employer Completed Application

Y

Preparer Name

Preparer Title

Preparer Email

Employer Information Declaration Name

JOSE VICENTE PEREZ

Employer Information Declaration Title

CEOADMINISTRATOR