MEDICARE: MUSTARD SEED REMODELING, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171WH0202X	Home Modifications Contractor

General Provider Information

NPI Number	:	1548126642
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MUSTARD SEED REMODELING, LLC

Provider Business Mailing Address
First Line	:	815 E MAIN ST
Second Line	:
City	:	PORTLAND
State	:	IN
Zip	:	47371-2015
Country	:	US
Telephone Number	:	260-251-5685
Fax Number	:

Provider Business Practice Location Address
First Line	:	815 E MAIN ST
Second Line	:
City	:	PORTLAND
State	:	IN
Zip	:	47371-2015
Country	:	US
Telephone Number	:	260-251-5685
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JONATHON TREON
Credential	:
Telephone Number	:	260-251-5685

Provider Enumeration Date	:	01/02/2026
Last Update Date	:	01/14/2026

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