Who We Are

Care shaped by real life at home.

Quality, personalized primary and behavioral health care for adults—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.

Home visits are available in Worcester and Hampden Counties, with behavioral telehealth across Massachusetts. Our goal is accessible, respectful care that meets you where you are.

A caregiver holding a patient's hand

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

Sandra Toffay, PhD, APRN

Founder & Nurse Practitioner

Our Story

Why I Started Esenga Health

In more than seventeen years in healthcare, I saw how easily adults with complex chronic illnesses can fall through the cracks. Then it became personal. My grandmother became critically ill and endured a lengthy ICU stay complicated by respiratory failure, infections, pulmonary embolism, tracheostomy, feeding tube dependence, and significant deconditioning.

When she finally returned home, she was largely bedbound. Even a routine appointment became a major undertaking—coordinating family members, transportation, and sometimes ambulance services simply to get her to a doctor's office. That experience showed me how many families caring for medically fragile loved ones need another option.

Sometimes, the healthcare provider needs to come to the patient.

As a nurse practitioner trained in family, acute, and psychiatric mental health care, I founded Esenga Health to offer that option: compassionate, relationship-based primary and behavioral care, delivered directly to adults in their homes. Our goal is to make high-quality care accessible for people who have difficulty getting to a medical office, reduce avoidable hospitalizations, ease the burden on families and caregivers, and help patients remain safe and comfortable at home whenever possible.

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.