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 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, bringing 17 years of nursing experience, including over a decade as a board-certified nurse practitioner, to the field of home-based primary care and behavioral health. Her training spans family, acute care, and psychiatric mental health, giving her a broad clinical lens that few providers can offer under one roof. Sandra's approach centers on whole-person, relationship-based care: getting to know patients and their families well enough to support real prevention, manage chronic conditions effectively, address mental wellness, and guide people smoothly through care transitions. Esenga Health was created to bring that kind of care directly into patients' homes, where it's often needed most.

  • 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.