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

Care shaped by real life at home.

Quality, personalized healthcare—delivered where you feel most comfortable: 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 Approach

A different kind of care.

Esenga Health is not a large corporate program. As an independent, home-grown practice, we help you keep the specialists you already know and trust rather than replacing your care team, and we connect you with other helpful resources in your community along the way.

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

We care for adults who may find it difficult to access traditional office-based care, whether due to mobility challenges, ongoing health conditions, recovery after hospitalization, or other barriers. We also provide behavioral health services for individuals seeking support with their mental health. You do not have to be homebound or seriously ill to receive care. Our goal is accessible, respectful care that meets you where you are.

A caregiver holding a patient's hand
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

About Esenga Health

Esenga Health was born from a simple insight gained over more than seventeen years of patient care: adults with chronic illnesses often fall through the cracks of the healthcare system. As a nurse practitioner trained in family, acute, and psychiatric mental health care, I have seen many patients repeatedly cycle through hospitals. These include individuals with Alzheimer's, Parkinson's, diabetes, hypertension-related complications, multiple strokes, respiratory conditions such as COPD and emphysema, spinal injuries, autoimmune diseases, heart failure, brain injuries, and behavioral health issues such as depression, anxiety, and schizophrenia, among many other debilitating chronic illnesses. A recurring pattern is evident: patients without consistent primary and mental health support tend to worsen at home until a crisis necessitates emergency or hospital care.

Esenga Health was created to break the cycle of reactive care. We focus on whole-person, relationship-based care to prevent issues, manage chronic conditions, support mental wellness, and ensure smooth care transitions. Serving adults of all ages, from young adults with complex conditions to older adults with multiple illnesses, we bring primary and behavioral health services directly to their homes. Regular, proactive visits allow early problem detection, coordination with pharmacists, specialists, and caregivers, and help patients stay stable at home. Our goal is to reduce hospitalizations, ease burdens on patients and families, and provide compassionate care to those in need.

  • 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 primary and behavioral health services

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