Nurse Practitioner–Owned Practice

Who We Are

Bringing compassionate, expert healthcare directly to your door — because you deserve care on your terms.

How We Started

Our Beginning

Esenga Health was founded to make healthcare more personal, accessible, and compassionate. As a nurse practitioner–owned practice, we bring primary care and mental health services directly into the homes of those who need it most — with telehealth available as a supportive option so you can always receive care where you feel most comfortable.

The Story Behind the Work

Our Inspiration

My inspiration comes from caring for my own grandmother during a critical illness. Bedbound with both a PEG tube and a tracheostomy, every doctor's visit meant booking an ambulance — exhausting and costly for our family. That experience showed me just how many patients are left behind by the current system, and why in-home care matters so deeply.

100%Patient-Focused
MAStatewide Service
NPOwned & Operated
What Drives Us

Our Mission

Our mission is simple: to close the gap for patients who face barriers to traditional care — particularly individuals who are homebound, disabled, or managing complex chronic medical and mental health conditions.

The People Behind Esenga Health

Meet Our Team

Compassionate, personalized care starts with people who value connection, trust, and treating every patient with genuine dignity.

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. Her PhD research focused on chronic disease management in underserved populations. Her approach is rooted in whole-person, relationship-based care — supporting patients through prevention, chronic disease management, mental wellness, and care transitions with compassion and clinical excellence.

PhD FNP-BC AGACNP-C PMHNP-BC
Denise Sachetti
Support Team

Denise Sachetti

Administrative Assistant

Denise helps keep Esenga Health organized, responsive, and welcoming. She supports scheduling, communication, referral coordination, and day-to-day administrative operations — helping patients and families feel supported from their very first interaction with our practice.

Scheduling Communication Referrals Patient Support
Our Commitment to You

Our Promise

At Esenga Health, you will never feel rushed or overlooked. We take the time to listen, answer your questions, and build a care plan that truly fits your life. Our goal is to be a trusted partner on your health journey — meeting you where you are, both literally and figuratively.

Ready to experience care that comes to you?

Let's talk about how Esenga Health can support you or a loved one.

📞 Schedule Your Visit