Esenga Health supporting an older adult using a wheelchair at home
Who We Are

Care shaped by real life at home.

Esenga Health was built around a simple belief: high-quality care should be easier to reach, more personal, and more supportive for patients and families who need care at home.

How We Started

Built for people who need care to be easier to reach.

Esenga Health was created for patients and families who face barriers to traditional office visits. For some people, getting to a clinic is not simple. It may mean transportation challenges, mobility concerns, chronic illness, caregiver strain, or the stress of coordinating one more appointment.

Our Inspiration

A personal reason behind the work.

The inspiration came from caring for my own grandmother during a critical illness. When every doctor's visit required ambulance transportation, I saw how exhausting and costly healthcare access can become. That experience shaped the heart of Esenga Health: bring care closer, make it more humane, and help families feel supported.

Our mission is to close the gap for patients who are too often left behind.

We support people who are homebound, disabled, managing ongoing health conditions, recovering after a hospital stay, or navigating mental health needs. You do not have to be in crisis or have a severe condition to reach out. The goal is steady, respectful care at home that reduces confusion and helps patients feel seen.

Esenga Health clinician speaking with a patient in a home setting
Meet The Team

The Heart Behind Esenga Health

Esenga Health is led by a board-certified nurse practitioner who provides thoughtful, patient-centered care at home.

Sandra Toffay
Provider

Sandra Toffay

Board-Certified Nurse Practitioner

Sandra Toffay is the founder of Esenga Health and a board-certified nurse practitioner with training in family, acute, and psychiatric mental health care. With 17 years in nursing and over a decade as a nurse practitioner, Sandra brings deep clinical experience to home-based primary care and behavioral healthcare. Her approach is rooted in whole-person, relationship-based care that supports prevention, chronic disease management, mental wellness, and care transitions.

  • PhD
  • FNP-BC
  • AGACNP-BC
  • PMHNP-BC
Our Promise

You will not feel rushed or overlooked.

We take time to listen, answer questions, and build a care plan that fits your life. Our goal is to be a trusted partner on your health journey, meeting you where you are, both literally and personally.

Talk with us about home-based care.

Tell us what is going on. We will help you choose the right visit type and explain what comes next.