Organization Active NPI

BH JV Grand Rapids LLC

Doing business as Southridge Behavioral Hospital

  • Psychiatric Hospital
  • Byron Center, MI
National Provider Identifier
1811710619
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
BH JV GRAND RAPIDS LLC
Doing business as
Southridge Behavioral Hospital
Practice address
6291 Venture Hills Blvd SW
Byron Center, MI 49315-7601
Phone
(616) 362-0300
NPI assigned
Nov 1, 2024
Last updated
Nov 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Steve Filton
Title
Vice President
Phone
(610) 768-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X Primary

Addresses

Primary practice location

6291 Venture Hills Blvd SW
Byron Center, MI 49315-7601

Mailing address

6291 Venture Hills Blvd SW
Byron Center, MI 49315-7601
Phone (616) 362-0300

Other names 1

  • Southridge Behavioral Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250520005025 MI Part A Provider - Hospital 3577081744 Practice locations: Byron Center, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1811710619. Details of each certification follow.

Hospital certification: CCN 234052

Legal name
BH JV GRAND RAPIDS LLC
Doing business as
SOUTHRIDGE BEHAVIORAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Sep 8, 2025
Last certification
Sep 8, 2025
Beds
96
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Enrollment address
6291 Venture Hills Blvd SW
Byron Center, MI 49315-7601
Main/Primary Hospital Location
Hospital subgroups
Psychiatric

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2320583Southridge Behavioral Hospital6291 Venture Hills Boulevard SW, Byron Center, MI 49315Certificate of waiverMar 19, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

6291 Venture Hills Blvd SW
Byron Center, MI 49315
Phone (616) 362-0300

Ownership & related parties

All disclosed owners & managing parties 17

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Shelah Adams Individual Contracted Managing EmployeeBoard Memeber May 28, 2025 100%
Corporate OfficerBoard Memeber May 28, 2025 100%
Premier Behavioral Solutions, Inc. Organization, King of Prussia, PA Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 28, 2025 100%
Matthew P Biersack Individual Corporate OfficerBoard Member May 28, 2025 100%
Matthew D Klein Individual Corporate OfficerSecretary - Corporate May 28, 2025 100%
Michigan Psychiatric Services, Inc Organization, King of Prussia, PA Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 28, 2025 100%
Kelly Smith Individual Corporate OfficerBoard Member May 28, 2025 100%
Kerry L Knott Individual Contracted Managing EmployeeBoard Member May 28, 2025 100%
Corporate OfficerBoard Member May 28, 2025 100%
Steve Filton Individual Corporate OfficerVice President May 28, 2025 100%
Corporate DirectorVice President May 28, 2025 33.3%
Havenwyck Hospital Inc Organization, King of Prussia, PA Corporation, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest May 28, 2025 51%
Universal Health Services Inc Organization, King of Prussia, PA Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 28, 2025 100%
Daniel G Green Individual Corporate OfficerBoard Member May 28, 2025 100%
James M Coleman Individual Contracted Managing EmployeeSenior Reimbursement Manager May 28, 2025 50%
Trinity Health-Michigan Organization, Livonia, MI Corporation, Non-profit 5% Or Greater Direct Ownership Interest May 28, 2025 49%
Michelle W Jackson Individual Contracted Managing EmployeeBoard Member May 28, 2025 100%
Corporate OfficerBoard Member May 28, 2025 100%
Uhs of Delaware Inc Organization, King of Prussia, PA Management services company, Consulting firm, For-profit, Chain home office Operational/Managerial Control May 28, 2025 100%
Psychiatric Solutions, Inc. Organization, King of Prussia, PA Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 28, 2025 100%
Alan B Miller Individual 5% Or Greater Indirect Ownership InterestChairman May 28, 2025 87.4%

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 181

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 181

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1730419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730419200000",
    "number": "1811710619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6291 VENTURE HILLS BLVD SW",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493157601",
            "telephone_number": "616-362-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6291 VENTURE HILLS BLVD SW",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493157601",
            "telephone_number": "616-362-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BH JV GRAND RAPIDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-01",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A",
        "authorized_official_last_name": "FILTON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "610-768-3300"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southridge Behavioral Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Byron Center, MI

Sources for this page

Verify at the official NPI Registry.