BH JV Grand Rapids LLC
Organization Active NPI Psychiatric Hospital · Byron Center, MI
NPI 1811710619 · NPPES record last updated Nov 1, 2024
Key facts
- NPI
- 1811710619
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric Hospital 283Q00000X
- Legal business name
- BH JV GRAND RAPIDS LLC
- Practice address
- 6291 Venture Hills Blvd SW
Byron Center, MI 49315-7601 - Phone
- (616) 362-0300
- NPI assigned
- Nov 1, 2024
- Organization subpart
- No
Authorized official
- Name
- Steve Filton
- Title
- Vice President
- Phone
- (610) 768-3300
Owners & managing parties with NPI records 4
Member of 2
Facilities with the same owner 181
Practitioners 2
-
Victoria Paige Sheffer, LMSW, CAADC
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2320583 | Southridge Behavioral Hospital | Certificate of waiver | Mar 19, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
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
- LLC · Proprietary
- Enrollment address
- 6291 Venture Hills Blvd SW
Byron Center, MI 49315-7601 - Hospital subgroups
- Psychiatric
All disclosed owners & managing parties 17
| Name | Role | Since | Share |
|---|---|---|---|
| Shelah Adams |
Contracted Managing Employee |
May 28, 2025 | 100% |
| Corporate Officer |
May 28, 2025 | 100% | |
| Premier Behavioral Solutions, Inc. |
5% Or Greater Indirect Ownership Interest | May 28, 2025 | 100% |
| Matthew P Biersack |
Corporate Officer |
May 28, 2025 | 100% |
| Matthew D Klein |
Corporate Officer |
May 28, 2025 | 100% |
| Michigan Psychiatric Services, Inc |
5% Or Greater Indirect Ownership Interest | May 28, 2025 | 100% |
| Kelly Smith |
Corporate Officer |
May 28, 2025 | 100% |
| Kerry L Knott |
Contracted Managing Employee |
May 28, 2025 | 100% |
| Corporate Officer |
May 28, 2025 | 100% | |
| Steve Filton |
Corporate Officer |
May 28, 2025 | 100% |
| Corporate Director |
May 28, 2025 | 33.3% | |
| Havenwyck Hospital Inc |
5% Or Greater Direct Ownership Interest | May 28, 2025 | 51% |
| Universal Health Services Inc |
5% Or Greater Indirect Ownership Interest | May 28, 2025 | 100% |
| Daniel G Green |
Corporate Officer |
May 28, 2025 | 100% |
| James M Coleman |
Contracted Managing Employee |
May 28, 2025 | 50% |
| Trinity Health-Michigan |
5% Or Greater Direct Ownership Interest | May 28, 2025 | 49% |
| Michelle W Jackson |
Contracted Managing Employee |
May 28, 2025 | 100% |
| Corporate Officer |
May 28, 2025 | 100% | |
| Uhs of Delaware Inc |
Operational/Managerial Control | May 28, 2025 | 100% |
| Psychiatric Solutions, Inc. |
5% Or Greater Indirect Ownership Interest | May 28, 2025 | 100% |
| Alan B Miller |
5% Or Greater Indirect Ownership Interest |
May 28, 2025 | 87.4% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250520005025 | MI | Part a Provider - Hospital | 3577081744 | Practice locations: Byron Center, MI |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital | 283Q00000X | Yes |
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
- Southridge Behavioral Hospital
Other providers in Byron Center, MI
- Sierra Rae Benchley
- Best Life Counseling Services, LLC
- Cynthia Ann Betterly
- Beville Counseling LLC
- David James Beyers
- Ingrid Eerdmans Bierfeldt
- Shawna Biggs
- Miranda Nicole Blaine
- Lindsey Nicole Bandy Blodgett
- Bluebird Behavioral Services, LLC
All providers in Byron Center, MI · Psychiatric Hospital in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 1, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.