Active NPI
BH JV Grand Rapids LLC
Doing business as Southridge Behavioral Hospital
- Psychiatric Hospital
- Byron Center, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- Enrollment address
- 6291 Venture Hills Blvd SW
Byron Center, MI 49315-7601 - Hospital subgroups
- Psychiatric
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2320583 | Southridge Behavioral Hospital | Certificate of waiver | Mar 19, 2027 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Cedar Creek Hospital
- Psychiatric Hospital
- Saint Johns, MI
- NPI 1053841650
Member Of
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.
| 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% |
Owners & managing parties with NPI records 4
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Psychiatric Hospital
- Auburn Hills, MI
- NPI 1053342220
5% Or Greater Direct Ownership Interest
-
dba Cedar Creek Hospital
- Psychiatric Hospital
- Saint Johns, MI
- NPI 1053841650
5% Or Greater Direct Ownership Interest
-
dba McAuley Health Center
- Federally Qualified Health Center (FQHC)
- Grand Rapids, MI
- NPI 1447456173
5% Or Greater Direct Ownership Interest
-
dba Stjoseph Mercy Professional Pharmacy
- Community/Retail Pharmacy
- Pontiac, MI
- NPI 1922105287
5% Or Greater Direct Ownership Interest
Facilities with the same owner 181
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Psychiatric Hospital
- Grand Rapids, MI
- NPI 1740251313
Uhs of Delaware Inc, Universal Health Services Inc
-
- Psychiatric Hospital
- Auburn Hills, MI
- NPI 1053342220
Michigan Psychiatric Services, Inc, Premier Behavioral Solutions, Inc., Psychiatric Solutions, Inc., Uhs of Delaware Inc, Universal Health Services Inc
-
dba Cedar Creek Hospital
- Psychiatric Hospital
- Saint Johns, MI
- NPI 1053841650
Michigan Psychiatric Services, Inc, Premier Behavioral Solutions, Inc., Psychiatric Solutions, Inc., Uhs of Delaware Inc, Universal Health Services Inc
-
dba Trinity Health Medical Group Primary Care Whitehall
- Rural Health Clinic/Center
- Whitehall, MI
- NPI 1326463357
Trinity Health-Michigan
-
dba Trinity Health Medical Group Primary Care Hart
- Rural Health Clinic/Center
- Hart, MI
- NPI 1518383025
Trinity Health-Michigan
-
dba Trinity Health Medical Group Primary Care Ludington
- Rural Health Clinic/Center
- Ludington, MI
- NPI 1518385806
Trinity Health-Michigan
-
dba Trinity Health Medical Group Primary Care Shelby
- Rural Health Clinic/Center
- Shelby, MI
- NPI 1588080030
Trinity Health-Michigan
-
dba Mercy Health Muskegon
- General Acute Care Hospital
- Muskegon, MI
- NPI 1831132133
Trinity Health-Michigan
-
dba Metropolitan Behavioral Health
- Psychiatric Hospital
- Dearborn, MI
- NPI 1164091799
Havenwyck Hospital Inc, Michigan Psychiatric Services, Inc, Premier Behavioral Solutions, Inc., Psychiatric Solutions, Inc., Uhs of Delaware Inc, Universal Health Services Inc
-
dba Saint Mary's Health Care
- Psychiatric Hospital Unit
- Grand Rapids, MI
- NPI 1467480566
Trinity Health-Michigan
-
dba Mercy Health Saint Mary's
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1639111057
Trinity Health-Michigan
-
dba St. Joseph Mercy Chelsea
- Rehabilitation Hospital
- Chelsea, MI
- NPI 1245244276
Trinity Health-Michigan
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.
-
- Social Worker
- Byron Center, MI
- NPI 1730658469
-
- Registered Nurse
- Grand Rapids, MI
- NPI 1699318063
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
- Sierra Rae Benchley, PHARMD
- Best Life Counseling Services, LLC (Dennis Langland LLC)
- Cynthia Ann Betterly, DNP
- Beville Counseling LLC
- David James Beyers
- Ingrid Eerdmans Bierfeldt, M.D.
- Shawna Biggs, MA, LPC
- Miranda Nicole Blaine
- Lindsey Nicole Bandy Blodgett, LPC
- Bluebird Behavioral Services, LLC (Hi-5 ABA)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.